| This document provides errors and edits pertinent to the body section of the QRDA files. For these errors and edits to work properly, it is assumed that the QRDA files are VALID CDA release 2 files. |
| This is a table with 8 columns and 6 rows | |||||||
| Measure Set | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 12002 | CONF-QRDA1-114 | clinicalDocument/component/structuredBody/component/section | measure set 'section' is present once with invalid or missing section/code; measure set 'section' is present multiple times with a valid section/code |
The Measure Set section SHALL be present exactly once in the QRDA Report. | Required | Error | |
| 12004 | CONF-QRDA1-116 | clinicalDocument/component/structuredBody/component/section/templateId | Measure Set section SHALL contain a 'templateId' uniquely identifying the Measure Set from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table | The Measure Set section SHALL contain a 'templateId' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table to identify a Measure Set. | Required | Error | |
| 12008 | CONF-QRDA1-119 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/title | Measure Set section 'title' is missing. | Measure Set section title element SHALL be present. | Required | Error | |
| 12009 | CONF-QRDA1-119 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/title | Measure Set section SHALL be valued with section 'title' with a case-insensitive, text string containing Measure Set: CMS EHR Measure Set | Measure Set section title value SHALL be in the format specified. | Required | Error | |
| 12010 | CONF-QRDA1-121 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/ templateId | The nested Measure section SHALL contain at least one measure that belongs to the measure set containing at least one 'templateId' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table to identify measure(s). The nested Measure section 'code' value SHALL be '55186-1' with 'codeSystem' value '2.16.840.1.113883.6.1' | The nested Measure section SHALL contain at least one measure that belongs to the measure set containing at least one 'templateId' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table to identify measure(s). The nested Measure section 'code' value SHALL be '55186-1' with 'codeSystem' value '2.16.840.1.113883.6.1'. | Required | Error | |
| 12011 | CONF-QRDA1-116 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/templateId | measure set 'templateId' element is present once with invalid or missing templateId; measure set 'templateId' is present multiple times with a valid templateId. | The measure set 'templateId' element SHALL be submitted exactly once. | Required | Error |
| This is a table with 8 columns and 7 rows | |||||||
| Measures | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 12101 | CONF-QRDA1-123 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/title | measure section 'title' element SHALL be valued with section title with a case-insensitive, text string containing the measure section | The measure section 'title' element SHALL be present in the specified format. | Required | Error | |
| 12106 | CONF-QRDA1-125 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9'] | nested reporting parameter section is expected exactly once in a measure section. The nested reporting parameter section 'code' value SHALL be '55187-9' with 'codeSystem' value '2.16.840.1.113883.6.1' | The measure section SHALL contain exactly one nested reporting parameters section. The nested reporting parameter section 'code' value SHALL be '55187-9' with 'codeSystem' value '2.16.840.1.113883.6.1'. |
Required | Error | |
| 12107 | CONF-QRDA1-126 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7'] | nested patient data section is expected exactly once in a measure section The nested reporting parameter section 'code' value SHALL be '55188-7' with 'codeSystem' value '2.16.840.1.113883.6.1' | The measure section SHALL contain exactly one nested patient data section. The nested reporting parameter section 'code' value SHALL be '55188-7' with 'codeSystem' value '2.16.840.1.113883.6.1'. |
Required | Error | |
| 12109 | CONF-QRDA1-129 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/entry/act[@classCode] | measure section act 'classCode' value SHALL be 'ACT' | Each act 'classCode' element in the measure section SHALL be 'ACT'. | Required | Error | |
| 12110 | CONF-QRDA1-130 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/entry/act[@moodCode] | measure section act 'moodCode' value SHALL be 'DEF' | Each act 'moodCode' element in the measure section SHALL be 'DEF'. | Required | Error | |
| 12111 | CONF-QRDA1-131 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/entry/act/code | measure section SHALL contain exactly one act 'code' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table identifying a measure | The measure section SHALL contain exactly one act 'code' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table identifying a measure. | Required | Error | |
| 12112 | CONF-QRDA1-131 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/entry/act/code | measure section SHALL contain an act 'code' corresponding to a submitted 'templateId' for the same measure | The measure section SHALL contain an act 'code' corresponding to a submitted 'templateId' for the same measure. | Required | Error |
| This is a table with 8 columns and 13 rows | |||||||
| Reporting Parameters | |||||||
| Error Code | Reference to CMS QRDA Data Submission Specs | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 12201 | CONF-QRDA1-133 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/code | reporting parameters section 'code' element is missing | The Reporting Parameters section 'code' element SHALL be present exactly once. | Required | Error | |
| 12204 | CONF-QRDA1-135 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/title | Reporting Parameters section 'title' element SHALL be valued with section title with a case-insensitive, text string containing the Reporting Parameters section | The Reporting Parameters section 'title' element SHALL be present in the specified format. | Required | Error | |
| 12206 | CONF-QRDA1-137 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act@classCode | Reporting Paramaters section act 'classCode' value SHALL be 'ACT' | Each act 'classCode' element in the Reporting Paramaters section SHALL be 'ACT'. | Required | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 12207 | CONF-QRDA1-138 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act@moodCode | Reporting Paramaters section act 'moodCode' value SHALL be 'EVN' | Each act 'moodCode' element in the Reporting Paramaters section SHALL be 'EVN'. | Required | Error | |
| 12208 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime | Reporting Paramaters section 'effectiveTime' element is expected exactly once | The Reporting Parameters section 'effectiveTime' element SHALL be submitted exactly once. | Required | Error | |
| 12209 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime/low/@value | Reporting Paramaters section 'effectiveTime' low value element is missing | The Reporting Parameters section effectiveTime 'low value' (start date of the reporting period) elements SHALL be present. | Required | Error | |
| 12210 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime/low/@value | effectiveTime low value length SHALL be at least 8 characters. | effectiveTime low value length SHALL be at least 8 characters. | Required | Error | |
| 12211 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime/high | Reporting Paramaters section 'effectiveTime' high value element is missing | The Reporting Parameters section effectiveTime 'high value' (end date of the reporting period) elements SHALL be present. | Required | Error | |
| 12212 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime/high | effectiveTime high value length SHALL be at least 8 characters. | effectiveTime high value length SHALL be at least 8 characters. | Required | Error | |
| 12213 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime/ | Reporting Paramaters section 'effectiveTime' (low value) element SHALL be prior to or equal to the Reporting Parameters section 'effectiveTime' (high value) | The Reporting Parameters section 'effectiveTime' (start date) element SHALL be prior to or the same as the Reporting Parameters section 'effectiveTime' (end date). | Required | Error | |
| 12214 | CONF-QRDA1-139 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/effectiveTime[low or high] | Reporting Paramaters section 'effectiveTime' (low value and high value) elements SHALL be at least precise to the day (YYYYMMDD) | The Reporting Parameters section 'effectiveTime' (start date and end date) elements SHALL be at least precise to the day (YYYYMMDD). | Required | Error | |
| 12215 | CONF-QRDA1-139.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/code/@code | In Reporting Parameters section, the value for act/code/@code SHALL be 252116004 | In Reporting Parameters section, the value for act/code SHALL be 252116004 Observation Parameters 2.16.840.1.113883.6.96 SNOMED-CT STATIC. | Required | Error | |
| 12216 | CONF-QRDA1-139.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55187-9']/entry/act/code/@codeSystem | In Reporting Parameters section, the value for act/code/@codeSystem SHALL be 2.16.840.1.113883.6.96 | In Reporting Parameters section, the value for act/code SHALL be 252116004 Observation Parameters 2.16.840.1.113883.6.96 SNOMED-CT STATIC. | Required | Error |
| This is a table with 8 columns and 1 row | |||||||
| Patient Data | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 12304 | CONF-QRDA1-142 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/title | patient data section 'title' element SHALL be valued with section title with a case-insensitive, text string containing 'Patient Data' | The patient data section 'title' element SHALL be present in the specified format. | Required | Error |
| This is a table with 8 columns and 37 rows | |||||||
| Problems | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 13002 | CONF-QRDA1-147 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4'] | if problem section is present, it SHALL be submitted exactly once. | If the Problem section is present, it SHALL be present exactly once. | Conditional | Error | |
| 13003 | CONF-QRDA1-147 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/text | The Problem section SHALL contain a narrative block | The Problem section SHALL contain a narrative block. | Conditional | Error | |
| 13006 | CONF-QRDA1-148 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/code | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 13007 | CONF-QRDA1-149 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/code/@code | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 13008 | CONF-QRDA1-149 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/code/@codeSystem | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | The problem section SHALL contain Section / code. The value for "Section / code" SHALL be "11450-4" "Problem list" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 13009 | CONF-QRDA1-150 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/title | The problem section SHALL contain Section / title. | The problem section SHALL contain Section / title. | Conditional | Error | |
| 13010 | CONF-QRDA1-151 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "problem". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "problem". | Conditional | Warning | |
| 13011 | CONF-QRDA1-152 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act | problem section SHALL contain at least one 'act' entry | If the Problem section is present, it SHALL contain at least one 'act' entry. | Conditional | Error | |
| 13012 | CONF-QRDA1-152 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13013 | CONF-QRDA1-153 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/@classCode | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13014 | CONF-QRDA1-154 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/@moodCode | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | A problem act (templateId 2.16.840.1.113883.10.20.1.27) SHALL be represented with Act. The value for "Act / classCode" in a problem act SHALL be "ACT" 2.16.840.1.113883.5.6 ActClass STATIC. The value for "Act / moodCode" in a problem act SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13015 | CONF-QRDA1-155 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/id | A problem act SHALL contain at least one Act / id. | A problem act SHALL contain at least one Act / id. | Conditional | Error | |
| 13016 | CONF-QRDA1-156 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/code | The value for "Act / code / @NullFlavor" in a problem act SHALL be "NA" "Not applicable" 2.16.840.1.113883.5.1008 NullFlavor STATIC. | The value for "Act / code / @NullFlavor" in a problem act SHALL be "NA" "Not applicable" 2.16.840.1.113883.5.1008 NullFlavor STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13017 | CONF-QRDA1-158 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship | A problem act SHALL contain one or more Act / entryRelationship. | A problem act SHALL contain one or more Act / entryRelationship. | Conditional | Error | |
| 13018 | CONF-QRDA1-160 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship@typeCode | The target of a problem act with Act / entryRelationship / @typeCode="SUBJ" SHOULD be a problem observation (in the Problem section) or alert observation (in the Alert section, see section 3.9 Alerts), but MAY be some other clinical statement. | The target of a problem act with Act / entryRelationship / @typeCode="SUBJ" SHOULD be a problem observation (in the Problem section) or alert observation (in the Alert section, see section 3.9 Alerts), but MAY be some other clinical statement. | Conditional | Warning | |
| 13019 | CONF-QRDA1-161 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation | A CMS QRDA 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. | A CMS QRDA 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. | Conditional | Error | |
| 13020 | CONF-QRDA1-162 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/@moodCode | The value for "Observation / moodCode" in a problem observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Observation / moodCode" in a problem observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13021 | CONF-QRDA1-163 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/statusCode | A problem observation, Observation / statusCode is missing | A problem observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 13022 | CONF-QRDA1-164 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/statusCode | The value for "Observation / statusCode" in a problem observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for "Observation / statusCode" in a problem observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13023 | CONF-QRDA1-165 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/effectiveTime | problem observation 'effectiveTime' in the problem entry SHALL be of the format YYYYMMDDHHMMSS | If the Problem section is present, the 'effectiveTime' element SHALL be of the format YYYYMMDDHHMMSS. | Conditional | Error | |
| 13028 | CONF-QRDA1-168 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/value | problems section observation 'value' element is expected exactly once | The problems section observation 'value' element SHALL be present exactly once. | Conditional | Error | |
| 13029 | CONF-QRDA1-168 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/value@code with value@codeSystem | The problems section SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_C-Problems of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | The problems section SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_C-Problems of the Downloadable Resource table identifying clinical data according to the specifications. | Conditional | Error | |
| 13031 | CONF-QRDA1-169 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation | A problem observation SHALL contain exactly one CMS QRDA Problem status observation and A CMS QRDA Problem status observation (2.16.840.1.113883.3.249.11.100.12) SHALL confirm to the rules of Problem status observation (2.16.840.1.113883.10.20.1.50). |
A problem observation SHALL contain exactly one CMS QRDA Problem status observation and A CMS QRDA Problem status observation (2.16.840.1.113883.3.249.11.100.12) SHALL confirm to the rules of Problem status observation (2.16.840.1.113883.10.20.1.50). |
Conditional | Error | |
| 13032 | CONF-QRDA1-171 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/value | The value for "Observation / value" in a problem status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.13 ProblemStatusCode STATIC 20061017. | The value for "Observation / value" in a problem status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.13 ProblemStatusCode STATIC 20061017. | Conditional | Error | |
| 13033 | CONF-QRDA1-168.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/@negationInd | The value for observation/@negationInd in Problem observation SHALL be either "true" or "false" | The value for observation/@negationInd in Problem observation SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards |
| 13034 | CONF-QRDA1-174.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='REFR'/observation/effectiveTime | The Problem Status observation template observation/effectiveTime is missing. | The Problem Status observation SHALL contain exactly one observation/effectiveTime. The value for observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13035 | CONF-QRDA1-174.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='REFR'/observation/effectiveTime | The value for Problem Status observation template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD). | The Problem Status observation SHALL contain exactly one observation/effectiveTime. The value for observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13036 | CONF-QRDA1-174.2 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Problem Negation Reason (2.16.840.1.113883.3.249.11.100.25) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24) | CMS EHR QRDA Problem Negation Reason (2.16.840.1.113883.3.249.11.100.25) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | |
| 13037 | CONF-QRDA1-174.3 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13038 | CONF-QRDA1-174.4 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13039 | CONF-QRDA1-174.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | |
| 13040 | CONF-QRDA1-174.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | |
| 13041 | CONF-QRDA1-174.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codesystem | The value for Problem Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be from the C1-Problems(negation) tab of the Downloadable Resources table | The value for Problem Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the C1-Problems(negation) tab of the Downloadable Resources table. | Conditional | Error | |
| 13043 | CONF-QRDA1-174.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13044 | CONF-QRDA1-174.8 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13045 | CONF-QRDA1-174.8 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13046 | CONF-QRDA1-174.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='11450-4']/entry/act/entryRelationship/@typeCode='SUBJ'/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | In the Negation Reason, the value element for code and codeSystem SHALL be Present exactly once. | The value for Problem Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be present exactly once. | Conditional | Error |
| This is a table with 8 columns and 24 rows | ||||||||
| Procedures | ||||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES | |
| 13202 | CONF-QRDA1-175 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4'] | if procedure section is present, it SHALL be submitted exactly once. | If the Procedure section is present, it SHALL be present exactly once. | Conditional | Error | ||
| 13203 | CONF-QRDA1-175 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/text | The Procedures section SHALL contain a narrative block. | The Procedures section SHALL contain a narrative block. | Conditional | Error | ||
| 13205 | CONF-QRDA1-177 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/code | The procedure section SHALL contain Section / code. The value for "Section / code" SHALL be "47519-4" "History of procedures" 2.16.840.1.113883.6.1 LOINC STATIC. | The procedure section SHALL contain Section / code. The value for "Section / code" SHALL be "47519-4" "History of procedures" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | ||
| 13206 | CONF-QRDA1-178 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/title | The procedure section SHALL contain Section / title. | The procedure section SHALL contain Section / title. | Conditional | Error | ||
| 13207 | CONF-QRDA1-180 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation] | procedure section SHALL contain at least one 'act, observation, or procedure' entry | If the procedure section is present, it SHALL contain at least one 'act, observation, or procedure' entry. | Conditional | Error | ||
| 13208 | CONF-QRDA1-180 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation] | A CMS QRDA Procedure activity (2.16.840.1.113883.3.249.11.100.9) SHALL confirm to the rules of Procedure activity (2.16.840.1.113883.10.20.1.29) and SHALL be represented with Act, Observation, or Procedure. | A CMS QRDA Procedure activity (2.16.840.1.113883.3.249.11.100.9) SHALL confirm to the rules of Procedure activity (2.16.840.1.113883.10.20.1.29) and SHALL be represented with Act, Observation, or Procedure. | Conditional | Error | ||
| 13209 | CONF-QRDA1-181 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/@moodCode | The value for "[Act | Observation | Procedure] / moodCode" in a procedure activity SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "[Act | Observation | Procedure] / moodCode" in a procedure activity SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 13210 | CONF-QRDA1-182 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/id | A procedure activity SHALL contain at least one [Act | Observation | Procedure] / id. | A procedure activity SHALL contain at least one [Act | Observation | Procedure] / id. | Conditional | Error | ||
| 13211 | CONF-QRDA1-183 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/statusCode | A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / statusCode. | A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / statusCode. | Conditional | Error | ||
| 13212 | CONF-QRDA1-185 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/effectiveTime | A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / effectiveTime. | A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / effectiveTime. | Conditional | Error | ||
| 13213 | CONF-QRDA1-185 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/effectiveTime | procedure observation 'effectiveTime' SHALL be the time stamp of the following format YYYYMMDDHHMMSS | If the Procedures section is present, the 'effectiveTime' element SHALL be the time stamp of the following format YYYYMMDDHHMMSS. | Conditional | Error | ||
| 13216 | CONF-QRDA1-186 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/code | A procedure activity Procedure / code is missing | A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / code. | Conditional | Error | ||
| 13217 | CONF-QRDA1-187 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry[procedure or act or observation]/code with value@codeSystem | The Procedures section SHALL contain exactly one procedure|act|observation combination of 'code' and 'codeSystem' attribute values from Appendix_G-Procedures of the Downloadable Resource table identifying clinical measure data according to the specifications. | The Procedures section SHALL contain exactly one procedure|act|observation combination of 'code' and 'codeSystem' attribute values from Appendix_G-Procedures of the Downloadable Resource table identifying clinical measure data according to the specifications. | Conditional | Error | ||
| 13219 | CONF-QRDA1-187.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/@negationInd | The value for procedure/@negationInd in Procedure activity SHALL be either "true" or "false" | The value for procedure/@negationInd in Procedure activity SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards | |
| 13220 | CONF-QRDA1-187.2 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Procedure Negation Reason (2.16.840.1.113883.3.249.11.100.26) SHALL conform to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | CMS EHR QRDA Procedure Negation Reason (2.16.840.1.113883.3.249.11.100.26) SHALL conform to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | ||
| 13221 | CONF-QRDA1-187.3 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 13222 | CONF-QRDA1-187.4 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 13223 | CONF-QRDA1-187.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 13224 | CONF-QRDA1-187.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 13225 | CONF-QRDA1-187.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codesystem | The value for Procedure Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be from the G1-Procedures(negation) tab of the Downloadable Resources table | The value for Procedure Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be from the G1-Procedures(negation) tab of the Downloadable Resources table. | Conditional | Error | ||
| 13227 | CONF-QRDA1-187.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | ||
| 13228 | CONF-QRDA1-187.8 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 13229 | CONF-QRDA1-187.8 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 13230 | CONF-QRDA1-187.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='47519-4']/entry/procedure/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | In the Negation Reason, the value element for code and codeSystem SHALL be Present exactly once. | The value for Procedure Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be present exactly once. | Conditional | Error |
| This is a table with 8 columns and 46 rows | |||||||
| Payers | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 13402 | CONF-QRDA1-188 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 '] | payers section SHALL be present exactly once. | Payers section SHALL be present exactly once. | Required | Error | |
| 13404 | CONF-QRDA1-188 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/text | The Payers section SHALL contain a narrative block. | The Payers section SHALL contain a narrative block. | Required | Error | |
| 13406 | CONF-QRDA1-188 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/templateId | The Payers section SHALL include one or more coverage activities (templateId 2.16.840.1.113883.10.20.1.20). | The Payers section SHALL include one or more coverage activities (templateId 2.16.840.1.113883.10.20.1.20). | Required | Error | |
| 13408 | CONF-QRDA1-190 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/code@code | The value for "Section / code" SHALL be "48768-6" "Payment sources" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "48768-6" "Payment sources" 2.16.840.1.113883.6.1 LOINC STATIC. | Required | Error | |
| 13409 | CONF-QRDA1-190 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/code@codeSystem | The value for "Section / code" SHALL be "48768-6" "Payment sources" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "48768-6" "Payment sources" 2.16.840.1.113883.6.1 LOINC STATIC. | Required | Error | |
| 13410 | CONF-QRDA1-191 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/title | The Payers section SHALL contain Section / title. | The Payers section SHALL contain Section / title. | Required | Error | |
| 13411 | CONF-QRDA1-192 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "insurance" or "payers". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "insurance" or "payers". | Optional | Warning | |
| 13413 | CONF-QRDA1-193 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act | A coverage activity (templateId 2.16.840.1.113883.10.20.1.20) SHALL be represented with Act. | A coverage activity (templateId 2.16.840.1.113883.10.20.1.20) SHALL be represented with Act. | Required | Error | |
| 13414 | CONF-QRDA1-194 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act@classCode | The value for Act / classCode in a coverage activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | The value for Act / classCode in a coverage activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | Required | Error | |
| 13415 | CONF-QRDA1-195 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act@moodCode | The value for Act / moodCode in a coverage activity SHALL be 'DEF' 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for Act / moodCode in a coverage activity SHALL be 'DEF' 2.16.840.1.113883.5.1001 ActMood STATIC. | Required | Error | |
| 13416 | CONF-QRDA1-196 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/id | A coverage activity SHALL contain at least one Act / id. | A coverage activity SHALL contain at least one Act / id. | Required | Error | |
| 13417 | CONF-QRDA1-197 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/statusCode | A coverage activity Act / statusCode is missing | A coverage activity SHALL contain exactly one Act / statusCode. | Required | Error | |
| 13418 | CONF-QRDA1-198 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/statusCode | The value for Act / statusCode in a coverage activity SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for Act / statusCode in a coverage activity SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | Required | Error | |
| 13420 | CONF-QRDA1-200 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/code | The value for 'Act / code' in a coverage activity SHALL be '48768-6' 'Payment sources' 2.16.840.1.113883.6.1 LOINC STATIC. | The value for 'Act / code' in a coverage activity SHALL be '48768-6' 'Payment sources' 2.16.840.1.113883.6.1 LOINC STATIC. | Required | Error | |
| 13421 | CONF-QRDA1-201 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship | A coverage activity SHALL contain one or more Act / entryRelationship. | A coverage activity SHALL contain one or more Act / entryRelationship. | Required | Error | |
| 13422 | CONF-QRDA1-203 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/@typeCode | The value for Act / entryRelationship / typeCode in a coverage activity SHALL be "COMP" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for Act / entryRelationship / typeCode in a coverage activity SHALL be "COMP" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Required | Error | |
| 13423 | CONF-QRDA1-204 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/templateId | The target of a coverage activity with Act / entryRelationship / @typeCode='COMP' SHALL be a CMS QRDA Policy activity (2.16.840.1.113883.3.249.11.100.7) and SHALL confirm to the rules of Policy activity (2.16.840.1.113883.10.20.1.26) | The target of a coverage activity with Act / entryRelationship / @typeCode='COMP' SHALL be a CMS QRDA Policy activity (2.16.840.1.113883.3.249.11.100.7) and SHALL confirm to the rules of Policy activity (2.16.840.1.113883.10.20.1.26). | Required | Error | |
| 13425 | CONF-QRDA1-206 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/@classCode | The value for Act / classCode in a policy activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | The value for Act / classCode in a policy activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | Required | Error | |
| 13426 | CONF-QRDA1-207 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/@moodCode | The value for Act / moodCode in a policy activity SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for Act / moodCode in a policy activity SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Required | Error | |
| 13427 | CONF-QRDA1-208 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/id | A policy activity SHALL contain at least one Act / id, which represents the group or contract number related to the insurance policy or program. | A policy activity SHALL contain at least one Act / id, which represents the group or contract number related to the insurance policy or program. | Required | Error | |
| 13428 | CONF-QRDA1-209 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/statusCode | A coverage policy Act / statusCode is missing | A coverage policy SHALL contain exactly one Act / statusCode. | Required | Error | |
| 13429 | CONF-QRDA1-210 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/statusCode/@code | The value for Act / statusCode in a policy activity SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for Act / statusCode in a policy activity SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | Required | Error | |
| 13430 | CONF-QRDA1-211 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/code | A policy activity SHOULD contain zero to one Act / code, which represents the type of coverage. | A policy activity SHOULD contain zero to one Act / code, which represents the type of coverage. | Optional | Warning | |
| 13431 | CONF-QRDA1-212 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/code@value | policy activity type of coverage Act 'code' value SHALL be from valueset '2.16.840.1.113883.1.11.19832' listed in Appendix_AH-Payers of the Downloadable Resource table | policy activity type of coverage Act 'code' value SHALL be from valueset '2.16.840.1.113883.1.11.19832' listed in Appendix_AH-Payers of the Downloadable Resource table. | Required | Error | |
| 13432 | CONF-QRDA1-213 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/performer[@typeCode=PRF] | A policy activity SHALL contain exactly one Act / performer [@typeCode="PRF"], representing the payer. | A policy activity SHALL contain exactly one Act / performer [@typeCode="PRF"], representing the payer. | Required | Error | |
| 13435 | CONF-QRDA1-214 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/performer[@typeCode=PRF]/assignedEntity/id @root | payer identification assignedEntity id 'root' is missing. | The payer identification assignedEntity id 'root' SHALL be present. | Required | Error | |
| 13436 | CONF-QRDA1-214 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/performer[@typeCode=PRF]/assignedEntity/id @root | payer identification assignedEntity 'root' value SHALL be '2.16.840.1.113883.12.86'. | payer identification assignedEntity 'root' value SHALL be '2.16.840.1.113883.12.86'. | Required | Error | |
| 13437 | CONF-QRDA1-214 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/performer[@typeCode=PRF]/assignedEntity/id @extension | payer identification assignedEntity id 'extension' is missing. | The payer identification assignedEntity id 'extension' SHALL be present. | Required | Error | |
| 13438 | CONF-QRDA1-214 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/performer[@typeCode=PRF]/assignedEntity/id @extension | payer identification assigned Entity id 'extension' value SHALL be valid as referenced in Appendix_AI-Insurance_Plan_Type of the posted Downloadable Resource table | The payer identification assigned Entity id 'extension' value SHALL be valid as referenced in Appendix_AI-Insurance_Plan_Type of the posted Downloadable Resource table. | Required | Error | |
| 13439 | CONF-QRDA1-215 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/@typeCode='COV' | A policy activity SHALL contain exactly one Act / participant [@typeCode="COV"], representing the covered party. | A policy activity SHALL contain exactly one Act / participant [@typeCode="COV"], representing the covered party. | Required | Error | |
| 13440 | CONF-QRDA1-216 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/participantRole/id | A covered party in a policy activity SHALL contain one or more participant / participantRole / id, to represent the patient's member or subscriber identifier with respect to the payer. | A covered party in a policy activity SHALL contain one or more participant / participantRole / id, to represent the patient's member or subscriber identifier with respect to the payer. | Required | Error | |
| 13441 | CONF-QRDA1-216 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/participantRole/id@root | participant/participantRole/id SHALL be HIC Number and id/@root SHALL be 2.16.840.1.113883.3.249.13 | For participant/participantRole/id, HIC Number SHALL be submitted and id/@root SHALL be 2.16.840.1.113883.3.249.13. | Required | Error | |
| 13442 | CONF-QRDA1-216 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/participantRole/id@extension | where participant/participantRole/id@root is 2.16.840.1.113883.3.249.13 (HIC), the id@extension SHALL be a valid HIC number format. No embedded dashes or spaces. Must be alphanumeric. Alpha characters must be upper case. Length can't be > 12 or < 7. If alphanumeric, all numbers cannot be 9s. If length 7: must be 1 alpha + 6 numeric. If length 8: must be 2 alpha + 6 numeric. If length 9: must be 3 alpha + 6 numeric. If length 10: can either be 1 alpha + 9 numeric, or 9 numeric + 1 alpha. If length 11: must be 2 alpha + 9 numeric, or 9 numeric + 1 alpha + 1 numeric, or 9 numeric + 2 alpha. If length 12: must be 3 alpha + 9 numeric. | If participant/participantRole/id@root is 2.16.840.1.113883.3.249.13, the id@extension SHALL be a valid HIC number format. | Required | Error | |
| 13444 | CONF-QRDA1-217 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/participantRole/code | policy activity participant / participantRole / code is missing | A covered party in a policy activity SHOULD contain exactly one participant / participantRole / code, to represent the reason for coverage (e.g. Self, Family dependent, student). | Optional | Warning | |
| 13445 | CONF-QRDA1-221 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId='2.16.840.1.113883.10.20.1.26']/participant/participantRole/id | A subscriber in a policy activity SHOULD contain one or more participant / participantRole / id, to represent the subscriber's identifier with respect to the payer. | A subscriber in a policy activity SHOULD contain one or more participant / participantRole / id, to represent the subscriber's identifier with respect to the payer. | Optional | Warning | |
| 13446 | CONF-QRDA1-223 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/@typeCode | The value for Act / entryRelationship / typeCode in a policy activity SHALL be 'REFR' 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for Act / entryRelationship / typeCode in a policy activity SHALL be 'REFR' 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Required | Error | |
| 13447 | CONF-QRDA1-224 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship[@typeCode='REFR'] | The target of a policy activity with Act / entryRelationship / @typeCode='REFR' SHALL be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) or an Act, with Act [@classCode = 'ACT'] and Act [@moodCode = 'DEF'], representing a description of the coverage plan. | The target of a policy activity with Act / entryRelationship / @typeCode='REFR' SHALL be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) or an Act, with Act [@classCode = 'ACT'] and Act [@moodCode = 'DEF'], representing a description of the coverage plan. | Required | Error | |
| 13448 | CONF-QRDA1-225 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/id | A description of the coverage plan SHALL contain one or more Act / Id, to represent the plan identifier. | A description of the coverage plan SHALL contain one or more Act / Id, to represent the plan identifier. | Required | Error | |
| 13449 | CONF-QRDA1-226 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19'] | An authorization activity (templateId 2.16.840.1.113883.10.20.1.19) SHALL be represented with Act. | An authorization activity (templateId 2.16.840.1.113883.10.20.1.19) SHALL be represented with Act. | Required | Error | |
| 13450 | CONF-QRDA1-227 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/@classCode | The value for Act / classCode in an authorization activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | The value for Act / classCode in an authorization activity SHALL be 'ACT' 2.16.840.1.113883.5.6 ActClass STATIC. | Required | Error | |
| 13451 | CONF-QRDA1-228 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/id | An authorization activity SHALL contain at least one Act / id. | An authorization activity SHALL contain at least one Act / id. | Required | Error | |
| 13452 | CONF-QRDA1-229 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/@moodCode | The value for Act / moodCode in an authorization activity SHALL be 'EVN' 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for Act / moodCode in an authorization activity SHALL be 'EVN' 2.16.840.1.113883.5.1001 ActMood STATIC. | Required | Error | |
| 13453 | CONF-QRDA1-230 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/entryRelationShip | An authorization activity SHALL contain one or more Act / entryRelationship. | An authorization activity SHALL contain one or more Act / entryRelationship. | Required | Error | |
| 13454 | CONF-QRDA1-231 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/entryRelationShip[@typeCode='SUBJ'] | The value for Act / entryRelationship / typeCode in an authorization activity SHALL be 'SUBJ' 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for Act / entryRelationship / typeCode in an authorization activity SHALL be 'SUBJ' 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Required | Error | |
| 13455 | CONF-QRDA1-232 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48768-6 ']/entry/act/entryRelationship/act[templateId/@root='2.16.840.1.113883.10.20.1.19']/entryRelationShip[@typeCode='SUBJ']/procedure or act or observation [@moodCode='PRMS'] | The target of an authorization activity with Act / entryRelationship / @typeCode='SUBJ' SHALL be a clinical statement with moodCode = 'PRMS' (Promise). | The target of an authorization activity with Act / entryRelationship / @typeCode='SUBJ' SHALL be a clinical statement with moodCode = 'PRMS' (Promise). | Required | Error |
| This is a table with 8 columns and 38 rows | |||||||
| Alerts | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 13602 | CONF-QRDA1-234 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2'] | if alerts section is present, it SHALL be submitted exactly once. | If the Alerts section is present, it SHALL be present exactly once. | Conditional | Error | |
| 13604 | CONF-QRDA1-234 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/text | The Alerts section SHALL contain a narrative block. | The Alerts section SHALL contain a narrative block. | Conditional | Error | |
| 13609 | CONF-QRDA1-234 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act | The Alerts section SHOULD include one or more problem acts (templateId 2.16.840.1.113883.10.20.1.27). | The Alerts section SHOULD include one or more problem acts (templateId 2.16.840.1.113883.10.20.1.27). | Conditional | Warning | |
| 13610 | CONF-QRDA1-236 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/code | The alert section SHALL contain Section / code | The alert section SHALL contain Section / code. | Conditional | Error | |
| 13611 | CONF-QRDA1-238 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/title | The alert section SHALL contain Section / title. | The alert section SHALL contain Section / title. | Conditional | Error | |
| 13612 | CONF-QRDA1-239 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "alert" and/or "allergies and adverse reactions". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "alert" and/or "allergies and adverse reactions". | Conditional | Warning | |
| 13613 | CONF-QRDA1-240 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation | alerts section's observation entry SHALL contain at least one entryRelationship | If the Alerts section is present, it SHALL contain at least one 'observation' entry. | Conditional | Error | |
| 13614 | CONF-QRDA1-240 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation | A CMS QRDA Alert observation (2.16.840.1.113883.3.249.11.100.6) SHALL confirm to the rules of Alert observation (2.16.840.1.113883.10.20.1.18) and SHALL be represented with Observation. | A CMS QRDA Alert observation (2.16.840.1.113883.3.249.11.100.6) SHALL confirm to the rules of Alert observation (2.16.840.1.113883.10.20.1.18) and SHALL be represented with Observation. | Conditional | Error | |
| 13615 | CONF-QRDA1-241 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation/@moodCode | The value for "Observation / moodCode" in an alert observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Observation / moodCode" in an alert observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13616 | CONF-QRDA1-242 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/statusCode | An alert observation SHALL include exactly one Observation / statusCode. | An alert observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 13617 | CONF-QRDA1-243 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/statusCode/@code | The value for "Observation / statusCode" in an alert observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for "Observation / statusCode" in an alert observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13618 | CONF-QRDA1-244 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/effectiveTime | An alert observation Observation / effectiveTime is missing. | An alert observation SHALL contain exactly one Observation / effectiveTime, to indicate the biological timing of condition. | Conditional | Error | |
| 13619 | CONF-QRDA1-244 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/effectiveTime | alerts observation 'effectiveTime' SHALL be at least precise to the day (YYYYMMDD) | If the alert section is present, the 'effectiveTime' element SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13625 | CONF-QRDA1-246 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/value | recommended to include absence of known allergies SHOULD be represented in an alert observation by valuing Observation / value with '160244002' No known allergies '2.16.840.1.113883.6.96' SNOMED CT STATIC | Absence of known allergies SHOULD be represented in an alert observation by valuing Observation / value with '160244002' No known allergies '2.16.840.1.113883.6.96' SNOMED CT STATIC. | Conditional | Warning | |
| 13626 | CONF-QRDA1-247 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/entryRelationShip/observation[templateId='2.16.840.1.113883.10.20.1.39'] | An alert observation SHALL contain exactly one CMS QRDA Alert status observation (2.16.840.1.113883.3.249.11.100.11) and SHALL confirm to the rules of Alert status observation (2.16.840.1.113883.10.20.1.39) | An alert observation SHALL contain exactly one CMS QRDA Alert status observation (2.16.840.1.113883.3.249.11.100.11) and SHALL confirm to the rules of Alert status observation (2.16.840.1.113883.10.20.1.39). | Conditional | Error | |
| 13627 | CONF-QRDA1-249 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/entryRelationShip/observation[templateId='2.16.840.1.113883.10.20.1.39']/value | The value for "Observation / value" in an alert status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.3 AlertStatusCode STATIC 20061017. | The value for "Observation / value" in an alert status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.3 AlertStatusCode STATIC 20061017. | Conditional | Error | |
| 13628 | CONF-QRDA1-250 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/act/entryRelationship/observation[@moodCode='EVN']/entryRelationShip/observation[templateId='2.16.840.1.113883.10.20.1.39']/participant | An alert observation SHALL contain at least one Observation / participant, representing the agent that is the cause of the allergy or adverse reaction | An alert observation SHALL contain at least one Observation / participant, representing the agent that is the cause of the allergy or adverse reaction. | Conditional | Error | |
| 13629 | CONF-QRDA1-251 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant/participantRole | An agent participation in an alert observation SHALL contain exactly one participant / participantRole / playingEntity. | An agent participation in an alert observation SHALL contain exactly one participant / participantRole / playingEntity. | Conditional | Error | |
| 13630 | CONF-QRDA1-252 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant[@typeCode='CSM'] | value for Observation / participant / typeCode in an agent participation SHALL be "CSM" "Consumable" 2.16.840.1.113883.5.90 ParticipationType STATIC. | value for Observation / participant / typeCode in an agent participation SHALL be "CSM" "Consumable" 2.16.840.1.113883.5.90 ParticipationType STATIC. | Conditional | Error | |
| 13631 | CONF-QRDA1-253 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant[@typeCode='CSM']/participantRole[@classCode='MANU'] | The value for Observation / participant / participantRole / classCode in an agent participation SHALL be "MANU" "Manufactured" 2.16.840.1.113883.5.110 RoleClass STATIC. | The value for Observation / participant / participantRole / classCode in an agent participation SHALL be "MANU" "Manufactured" 2.16.840.1.113883.5.110 RoleClass STATIC. | Conditional | Error | |
| 13632 | CONF-QRDA1-254 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant[@typeCode='CSM']/participantRole[@classCode='MANU']/playingEntity[@classCode='MMAT'] | The value for Observation / participant / participantRole / playingEntity / classCode in an agent participation SHALL be "MMAT" "Manufactured material" 2.16.840.1.113883.5.41 EntityClass STATIC. | The value for Observation / participant / participantRole / playingEntity / classCode in an agent participation SHALL be "MMAT" "Manufactured material" 2.16.840.1.113883.5.41 EntityClass STATIC. | Conditional | Error | |
| 13633 | CONF-QRDA1-255 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant[@typeCode='CSM']/participantRole[@classCode='MANU']/playingEntity[@classCode='MMAT']/code | An agent participation in an alert observation SHALL contain exactly one participant / participantRole / playingEntity / code. | An agent participation in an alert observation SHALL contain exactly one participant / participantRole / playingEntity / code. | Conditional | Error | |
| 13635 | CONF-QRDA1-256 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/participant[@typeCode='CSM']/participantRole[@classCode='MANU']/playingEntity[@classCode='MMAT']/code@code with value@codeSystem | The alerts observation playing entity combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_H-Alerts of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | The alerts observation playing entity combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_H-Alerts of the Downloadable Resource table identifying clinical data according to the specifications. | Conditional | Error | |
| 13637 | CONF-QRDA1-257 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship/observation/value | alerts reaction obeservation 'value' is expected exactly once | If the Alerts section is present, the alerts section reaction observation 'value' SHALL be present exactly once. | Conditional | Error | |
| 13640 | CONF-QRDA1-258 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship/@typeCode | The value for "entryRelationship / typeCode" in a relationship between an alert observation and reaction observation SHALL be "MFST" "Is manifestation of" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between an alert observation and reaction observation SHALL be "MFST" "Is manifestation of" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 13641 | CONF-QRDA1-259 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/code/@codeSystem='2.16.840.1.113883.5.4']/observation/ | A CMS QRDA Reaction observation (2.16.840.1.113883.3.249.11.100.14) SHALL confirm to the rules of Reaction observation (2.16.840.1.113883.10.20.1.54) and SHALL be represented with Observation. | A CMS QRDA Reaction observation (2.16.840.1.113883.3.249.11.100.14) SHALL confirm to the rules of Reaction observation (2.16.840.1.113883.10.20.1.54) and SHALL be represented with Observation. | Conditional | Error | |
| 13642 | CONF-QRDA1-260 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/code/@codeSystem='2.16.840.1.113883.5.4']/observation/@classCode | The value for "Observation / classCode" in a reaction observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | The value for "Observation / classCode" in a reaction observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 13643 | CONF-QRDA1-261 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.54']/observation/@moodCode | The value for "Observation / moodCode" in a reaction observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Observation / moodCode" in a reaction observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13644 | CONF-QRDA1-262 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.54']/observation/statusCode | A reaction observation SHALL include exactly one Observation / statusCode. | A reaction observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 13645 | CONF-QRDA1-263 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.54']/observation/statusCode/@code | The value for "Observation / statusCode" in a reaction observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for "Observation / statusCode" in a reaction observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13646 | CONF-QRDA1-401 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/ | A severity observation (templateId 2.16.840.1.113883.10.20.1.55) SHALL be represented with Observation. | A severity observation (templateId 2.16.840.1.113883.10.20.1.55) SHALL be represented with Observation. | Conditional | Error | |
| 13647 | CONF-QRDA1-402 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/@typeCode/ | The value for "entryRelationship / typeCode" in a relationship between a reaction observation and severity observation SHALL be "SUBJ" "Has subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between a reaction observation and severity observation SHALL be "SUBJ" "Has subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 13648 | CONF-QRDA1-403 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/@classCode/ | The value for "Observation / classCode" in a severity observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | The value for "Observation / classCode" in a severity observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 13649 | CONF-QRDA1-404 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/@moodCode/ | The value for "Observation / moodCode" in a severity observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Observation / moodCode" in a severity observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13650 | CONF-QRDA1-405 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/statusCode/ | A severity observation Observation / statusCode is missing | A severity observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 13651 | CONF-QRDA1-406 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/statusCode/ | The value for "Observation / statusCode" in a severity observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for "Observation / statusCode" in a severity observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13653 | CONF-QRDA1-408 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/code/ | The value for "Observation / code" in a severity observation SHALL be "SEV" "Severity observation" 2.16.840.1.113883.5.4 ActCode STATIC. | The value for "Observation / code" in a severity observation SHALL be "SEV" "Severity observation" 2.16.840.1.113883.5.4 ActCode STATIC. | Conditional | Error | |
| 13654 | CONF-QRDA1-409 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='48765-2']/entry/entryRelationship[observation/@moodCode='EVN']/observation/entryRelationship[observation/templateId/@root='2.16.840.1.113883.10.20.1.55']/observation/value | A severity observation SHALL contain exactly one Observation / value. | A severity observation SHALL contain exactly one Observation / value. | Conditional | Error |
| This is a table with 8 columns and 50 rows | |||||||
| Medications | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 13802 | CONF-QRDA1-266 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8'] | if medication section is present, it SHALL be submitted exactly once. | If the Medication section is present, it SHALL be present exactly once. | Conditional | Error | |
| 13804 | CONF-QRDA1-266 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/text | The Medications section SHALL contain a narrative block. | The Medications section SHALL contain a narrative block. | Conditional | Error | |
| 13806 | CONF-QRDA1-266 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.24' or @root='2.16.840.1.113883.10.20.1.34'] | The Medications section SHOULD include one or more medication activities (templateId 2.16.840.1.113883.10.20.1.24) and/or supply activities (templateId 2.16.840.1.113883.10.20.1.34) | The Medications section SHOULD include one or more medication activities (templateId 2.16.840.1.113883.10.20.1.24) and/or supply activities (templateId 2.16.840.1.113883.10.20.1.34). | Conditional | Warning | |
| 13807 | CONF-QRDA1-268 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/code | The medications section SHALL contain Section / code. | The medications section SHALL contain Section / code. | Conditional | Error | |
| 13808 | CONF-QRDA1-269 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/code/@code | The value for "Section / code" SHALL be "10160-0" "History of medication use" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "10160-0" "History of medication use" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 13809 | CONF-QRDA1-270 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/title | The medications section SHALL contain Section / title. | The medications section SHALL contain Section / title. | Conditional | Error | |
| 13810 | CONF-QRDA1-272 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration | medications section SHALL contain at least one 'substanceAdministration' entry | If the Medications section is present, it SHALL contain at least one 'substanceAdministration' entry. | Conditional | Error | |
| 13811 | CONF-QRDA1-272 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration | A medication activity (templateId 2.16.840.1.113883.10.20.1.24) SHALL be represented with SubstanceAdministration | A medication activity (templateId 2.16.840.1.113883.10.20.1.24) SHALL be represented with SubstanceAdministration. | Conditional | Error | |
| 13812 | CONF-QRDA1-273 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/@moodCode | The value for "SubstanceAdministration / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "SubstanceAdministration / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13813 | CONF-QRDA1-274 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/id | A medication activity SHALL contain at least one SubstanceAdministration / id. | A medication activity SHALL contain at least one SubstanceAdministration / id. | Conditional | Error | |
| 13814 | CONF-QRDA1-275 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/statusCode | A medication activity SHOULD contain exactly one SubstanceAdministration / statusCode. | A medication activity SHOULD contain exactly one SubstanceAdministration / statusCode. | Conditional | Warning | |
| 13815 | CONF-QRDA1-276 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/effectiveTime | A medication activity SHALL contain one or more SubstanceAdministration / effectiveTime elements, used to indicate the actual or intended start and stop date of a medication, and the frequency of administration. | A medication activity SHALL contain one or more SubstanceAdministration / effectiveTime elements, used to indicate the actual or intended start and stop date of a medication, and the frequency of administration. | Conditional | Error | |
| 13817 | CONF-QRDA1-276 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/effectiveTime | SubstanceAdministration 'effectiveTime' SHALL be the time stamp of the format YYYYMMDDHHMMSS. | The SubstanceAdministration 'effectiveTime' element SHALL be the time stamp of the format YYYYMMDDHHMMSS. | Conditional | Error | |
| 13822 | CONF-QRDA1-277 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/routeCode | A medication activity SubstanceAdministration / routeCode is missing | A medication activity SHOULD contain exactly one SubstanceAdministration / routeCode. | Conditional | Warning | |
| 13823 | CONF-QRDA1-282 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | Conditional | Error | |
| 13824 | CONF-QRDA1-283 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/@moodCode | The value for "Supply / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Supply / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13825 | CONF-QRDA1-284 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/id | A supply activity SHALL contain at least one Supply / id. | A supply activity SHALL contain at least one Supply / id. | Conditional | Error | |
| 13826 | CONF-QRDA1-285 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/statusCode | A supply activity SHOULD contain exactly one Supply / statusCode. | A supply activity SHOULD contain exactly one Supply / statusCode. | Conditional | Warning | |
| 13827 | CONF-QRDA1-286 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/effectiveTime | A supply activity SHOULD contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | A supply activity SHOULD contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | Conditional | Warning | |
| 13828 | CONF-QRDA1-296 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act | A patient instruction (templateId 2.16.840.1.113883.10.20.1.49) SHALL be represented with Act. | A patient instruction (templateId 2.16.840.1.113883.10.20.1.49) SHALL be represented with Act. | Conditional | Error | |
| 13829 | CONF-QRDA1-297 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act/@moodCode | The value for "Act / moodCode" in a patient instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Act / moodCode" in a patient instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13830 | CONF-QRDA1-298 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship to a patient instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship to a patient instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 13831 | CONF-QRDA1-300 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/ | A fulfillment instruction (templateId 2.16.840.1.113883.10.20.1.43) SHALL be represented with Act. | A fulfillment instruction (templateId 2.16.840.1.113883.10.20.1.43) SHALL be represented with Act. | Conditional | Error | |
| 13832 | CONF-QRDA1-301 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/@moodCode | The value for "Act / moodCode" in a fulfillment instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Act / moodCode" in a fulfillment instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13833 | CONF-QRDA1-302 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship between a supply activity and fulfillment instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between a supply activity and fulfillment instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 13834 | CONF-QRDA1-305 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation | A medication series number observation (templateId 2.16.840.1.113883.10.20.1.46) SHALL be represented with Observation. | A medication series number observation (templateId 2.16.840.1.113883.10.20.1.46) SHALL be represented with Observation. | Conditional | Error | |
| 13835 | CONF-QRDA1-306 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/@classCode | The value for "Observation / classCode" in a medication series number observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | The value for "Observation / classCode" in a medication series number observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 13836 | CONF-QRDA1-307 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/@moodCode | The value for "Observation / moodCode" in a medication series number observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC | The value for "Observation / moodCode" in a medication series number observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 13837 | CONF-QRDA1-308 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/statusCode | A medication series number observation Observation / statusCode is missing | A medication series number observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 13839 | CONF-QRDA1-310 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | The value for "Observation / code" in a medication series number observation SHALL be "30973-2" "Dose number" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Observation / code" in a medication series number observation SHALL be "30973-2" "Dose number" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 13840 | CONF-QRDA1-311 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | A medication series number observation SHALL contain exactly one Observation / value. | A medication series number observation SHALL contain exactly one Observation / value. | Conditional | Error | |
| 13841 | CONF-QRDA1-312 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | The data type for "Observation / value" in a medication series number observation SHALL be INT (integer). | The data type for "Observation / value" in a medication series number observation SHALL be INT (integer). | Conditional | Error | |
| 13842 | CONF-QRDA1-314 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[entryRelationship/observation/templateId/@root='2.16.840.1.113883.10.20.1.54']/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship between a medication activity and reaction observation SHALL be "CAUS" "Is etiology for" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between a medication activity and reaction observation SHALL be "CAUS" "Is etiology for" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 13843 | CONF-QRDA1-321 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct | A CMS QRDA Product (2.16.840.1.113883.3.249.11.100.13) SHALL confirm to the rules of Product (2.16.840.1.113883.10.20.1.53) and SHALL be represented with the ManufacturedProduct class. | A CMS QRDA Product (2.16.840.1.113883.3.249.11.100.13) SHALL confirm to the rules of Product (2.16.840.1.113883.10.20.1.53) and SHALL be represented with the ManufacturedProduct class. | Conditional | Error | |
| 13844 | CONF-QRDA1-323 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code | A ManufacturedProduct in a product template SHALL contain exactly one manufacturedMaterial/code | A ManufacturedProduct in a product template SHALL contain exactly one manufacturedMaterial/code. | Conditional | Error | |
| 13845 | CONF-QRDA1-324 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code/@code with value@codeSystem | The medications manufacturedMaterial combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_A-Medications of the Downloadable Resource table (for the current program year) identifying measure data according to the specifications. | The medications manufacturedMaterial combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_A-Medications of the Downloadable Resource table (for the current program year) identifying measure data according to the specifications. | Conditional | Error | |
| 13847 | CONF-QRDA1-328 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code/originalText | A manufacturedMaterial in a product template SHALL contain exactly one Material / code / originalText, which represents the generic name of the product. | A manufacturedMaterial in a product template SHALL contain exactly one Material / code / originalText, which represents the generic name of the product. | Conditional | Error | |
| 13848 | CONF-QRDA1-272 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration | CMS EHR Medication activity (2.16.840.1.113883.3.249.11.100.28) SHALL confirm to the rules of Medication activity (2.16.840.1.113883.10.20.1.24) | CMS EHR Medication activity (2.16.840.1.113883.3.249.11.100.28) SHALL confirm to the rules of Medication activity (2.16.840.1.113883.10.20.1.24). | Conditional | Error | |
| 13849 | CONF-QRDA1-281.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/@negationInd | The value for substanceAdministration/@negationInd in Medication activity SHALL be either "true" or "false" | The value for substanceAdministration/@negationInd in Medication activity SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards |
| 13850 | CONF-QRDA1-335.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Medication Negation Reason (2.16.840.1.113883.3.249.11.100.27) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24) | CMS EHR QRDA Medication Negation Reason (2.16.840.1.113883.3.249.11.100.27) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | |
| 13851 | CONF-QRDA1-335.2 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13852 | CONF-QRDA1-335.3 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 13853 | CONF-QRDA1-335.4 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION. | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | |
| 13854 | CONF-QRDA1-335.4 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | |
| 13855 | CONF-QRDA1-335.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codesystem | The value for Medication Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the A1-Medications(negation) tab of the Downloadable Resources table | The value for Medication Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the A1-Medications(negation) tab of the Downloadable Resources table. | Conditional | Error | |
| 13857 | CONF-QRDA1-335.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 13858 | CONF-QRDA1-335.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13859 | CONF-QRDA1-335.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 13860 | CONF-QRDA1-335.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | The value for Medication Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be present exactly once. | The value for Medication Negation Reason observation.value/@code and observation/value/@codeSystem SHALL be present exactly once. | Conditional | Error | |
| 13861 | CONF-QRDA1-324 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.8']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code/@code and manufacturedMaterial/code/@codeSystem | The medications manufacturedMaterial SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. | The medications manufacturedMaterial SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. | Conditional | Error |
| This is a table with 8 columns and 48 rows | |||||||
| Immunizations | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 14002 | CONF-QRDA1-336 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section | if immunization section is present, it SHALL be submitted exactly once. | If the Immunization section is present, it SHALL be present exactly once. | Conditional | Error | |
| 14004 | CONF-QRDA1-336 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section/text | The Immunizations section SHALL contain a narrative block. | The Immunizations section SHALL contain a narrative block. | Conditional | Error | |
| 14006 | CONF-QRDA1-336 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section[entry/substanceAdministration/templateId/@root='2.16.840.1.113883.10.20.1.24' or @root='2.16.840.1.113883.10.20.1.34'] | The Immunizations section SHOULD include one or more immunization activities (templateId 2.16.840.1.113883.10.20.1.24) and/or supply activities (templateId 2.16.840.1.113883.10.20.1.34). | The Immunizations section SHOULD include one or more immunization activities (templateId 2.16.840.1.113883.10.20.1.24) and/or supply activities (templateId 2.16.840.1.113883.10.20.1.34). | Conditional | Warning | |
| 14007 | CONF-QRDA1-337 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section/code | The immunizations section SHALL contain Section / code | The immunizations section SHALL contain Section / code. | Conditional | Error | |
| 14008 | CONF-QRDA1-338 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section/code | The value for "Section / code" SHALL be "11369-6" "History of immunizations" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "11369-6" "History of immunizations" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 14009 | CONF-QRDA1-339 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section/title | The immunizations section SHALL contain Section / title. | The immunizations section SHALL contain Section / title. | Conditional | Error | |
| 14010 | CONF-QRDA1-340 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='11369-6']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "immunization". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "immunization". | Conditional | Warning | |
| 14011 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration | immunization section SHALL contain at least one 'substanceAdministration' entry | If the Immunization section is present, it SHALL contain at least one 'substanceAdministration' entry. | Conditional | Error | ||
| 14013 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/@moodCode | The value for "SubstanceAdministration / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "SubstanceAdministration / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14014 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/id | A medication activity SHALL contain at least one SubstanceAdministration / id. | A medication activity SHALL contain at least one SubstanceAdministration / id. | Conditional | Error | ||
| 14015 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/statusCode | A medication activity SHOULD contain exactly one SubstanceAdministration / statusCode. | A medication activity SHOULD contain exactly one SubstanceAdministration / statusCode. | Conditional | Warning | ||
| 14016 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/effectiveTime | A medication activity SHALL contain one or more SubstanceAdministration / effectiveTime elements, used to indicate the actual or intended start and stop date of a medication, and the frequency of administration. | A medication activity SHALL contain one or more SubstanceAdministration / effectiveTime elements, used to indicate the actual or intended start and stop date of a medication, and the frequency of administration. | Conditional | Error | ||
| 14018 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/effectiveTime | SubstanceAdministration 'effectiveTime' SHALL be the time stamp of the format YYYYMMDDHHMMSS. | The SubstanceAdministration 'effectiveTime' element SHALL be the time stamp of the format YYYYMMDDHHMMSS. | Conditional | Error | ||
| 14023 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/routeCode | A medication activity SHOULD contain exactly one SubstanceAdministration / routeCode. | A medication activity SHOULD contain exactly one SubstanceAdministration / routeCode. | Conditional | Warning | ||
| 14024 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | Conditional | Error | ||
| 14025 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/@moodCode | The value for "Supply / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Supply / moodCode" in a medication activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | ||
| 14026 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/id | A supply activity SHALL contain at least one Supply / id. | A supply activity SHALL contain at least one Supply / id. | Conditional | Error | ||
| 14027 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/statusCode | A supply activity SHOULD contain exactly one Supply / statusCode. | A supply activity SHOULD contain exactly one Supply / statusCode. | Conditional | Warning | ||
| 14028 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration[templateId/@root='2.16.840.1.113883.10.20.1.34']/Supply/effectiveTime | A supply activity SHOULD contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | A supply activity SHOULD contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | Conditional | Warning | ||
| 14029 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act | A patient instruction (templateId 2.16.840.1.113883.10.20.1.49) SHALL be represented with Act. | A patient instruction (templateId 2.16.840.1.113883.10.20.1.49) SHALL be represented with Act. | Conditional | Error | ||
| 14030 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act/@moodCode | The value for "Act / moodCode" in a patient instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Act / moodCode" in a patient instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | ||
| 14031 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.49']/act/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship to a patient instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship to a patient instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | ||
| 14032 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/ | A fulfillment instruction (templateId 2.16.840.1.113883.10.20.1.43) SHALL be represented with Act. | A fulfillment instruction (templateId 2.16.840.1.113883.10.20.1.43) SHALL be represented with Act. | Conditional | Error | ||
| 14033 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/@moodCode | The value for "Act / moodCode" in a fulfillment instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Act / moodCode" in a fulfillment instruction SHALL be "INT" "Intent" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | ||
| 14034 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.43']/act/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship between a supply activity and fulfillment instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between a supply activity and fulfillment instruction SHALL be "SUBJ" "Subject" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | ||
| 14035 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation | A medication series number observation (templateId 2.16.840.1.113883.10.20.1.46) SHALL be represented with Observation. | A medication series number observation (templateId 2.16.840.1.113883.10.20.1.46) SHALL be represented with Observation. | Conditional | Error | ||
| 14036 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/@classCode | The value for "Observation / classCode" in a medication series number observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | The value for "Observation / classCode" in a medication series number observation SHALL be "OBS" 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | ||
| 14037 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/@moodCode | The value for "Observation / moodCode" in a medication series number observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Observation / moodCode" in a medication series number observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | ||
| 14038 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/statusCode | A medication series number observation SHALL include exactly one Observation / statusCode. | A medication series number observation SHALL include exactly one Observation / statusCode. | Conditional | Error | ||
| 14039 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/code | A medication series number observation SHALL contain exactly one Observation / code. | A medication series number observation SHALL contain exactly one Observation / code. | Conditional | Error | ||
| 14040 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | The value for "Observation / code" in a medication series number observation SHALL be "30973-2" "Dose number" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Observation / code" in a medication series number observation SHALL be "30973-2" "Dose number" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | ||
| 14041 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | A medication series number observation SHALL contain exactly one Observation / value. | A medication series number observation SHALL contain exactly one Observation / value. | Conditional | Error | ||
| 14042 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[act/templateId/@root='2.16.840.1.113883.10.20.1.46']/Observation/value | The data type for "Observation / value" in a medication series number observation SHALL be INT (integer). | The data type for "Observation / value" in a medication series number observation SHALL be INT (integer). | Conditional | Error | ||
| 14043 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[entryRelationship/observation/templateId/@root='2.16.840.1.113883.10.20.1.54']/entryRelationShip/@typeCode | The value for "entryRelationship / typeCode" in a relationship between a medication activity and reaction observation SHALL be "CAUS" "Is etiology for" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for "entryRelationship / typeCode" in a relationship between a medication activity and reaction observation SHALL be "CAUS" "Is etiology for" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | ||
| 14045 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code | A ManufacturedProduct in a product template has manufacturedMaterial/code missing | A ManufacturedProduct in a product template SHALL contain exactly one manufacturedMaterial/code. | Conditional | Error | ||
| 14046 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code/@code with value@codeSystem | The immunizations manufacturedMaterial combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_D-Immunizations of the Downloadable Resource table (for the current program year) identifying measure data according to the specifications. | The immunizations manufacturedMaterial combination of 'code' and 'codeSystem' attribute values SHALL contain exactly one value from Appendix_D-Immunizations of the Downloadable Resource table (for the current program year) identifying measure data according to the specifications. | Conditional | Error | ||
| 14048 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry[manufacturedProduct/templateId/@root='2.16.840.1.113883.10.20.1.53']/manufacturedProduct/manufacturedMaterial/code/originalText | A manufacturedMaterial in a product template SHALL contain exactly one Material / code / originalText, which represents the generic name of the product. | A manufacturedMaterial in a product template SHALL contain exactly one Material / code / originalText, which represents the generic name of the product. | Conditional | Error | ||
| 14049 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/@negationInd | The value for substanceAdministration/@negationInd in Medication activity SHALL be either "true" or "false" | The value for substanceAdministration/@negationInd in Medication activity SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards | |
| 14050 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Immunization Negation Reason (2.16.840.1.113883.3.249.11.100.29) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24) | CMS EHR QRDA Immunization Negation Reason (2.16.840.1.113883.3.249.11.100.29) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | ||
| 14051 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14052 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN | The value for observation / @moodCode in a negation reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14053 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14054 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14055 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codesystem | The value for Immunization Negation Reason observation / value / @code and observation / value / @codeSystem SHALL be from the Immunizations(negation) tab of the Downloadable Resource Table. | The value for Immunization Negation Reason observation / value / @code and observation / value / @codeSystem SHALL be from the D1-Immunizations(negation) tab of the Downloadable Resource Table. | Conditional | Error | ||
| 14057 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | ||
| 14058 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14059 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation reason SHALL contain exactly one observation / effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14060 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[templateId/@root='2.16.840.1.113883.10.20.1.6']/entry/substanceAdministration/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | The value for Immunization Negation Reason observation / value / @code and observation / value / @codeSystem SHALL be present exactly once. | The value for Immunization Negation Reason observation / value / @code and observation / value / @codeSystem SHALL be present exactly once. | Conditional | Error |
| This is a table with 8 columns and 40 rows | ||||||||
| Results | ||||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | Notes | |
| 14202 | CONF-QRDA1-341 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section | if result section is present, it SHALL be submitted exactly once. | If the Result section is present, it SHALL be present exactly once. | Conditional | Error | ||
| 14204 | CONF-QRDA1-341 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/text | The Results section SHALL contain a narrative block. | The Results section SHALL contain a narrative block. | Conditional | Error | ||
| 14206 | CONF-QRDA1-341 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2'][section/entry/organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/section | The Results section SHOULD include one or more result organizers (templateId 2.16.840.1.113883.10.20.1.32). | The Results section SHOULD include one or more result organizers (templateId 2.16.840.1.113883.10.20.1.32). | Conditional | Warning | ||
| 14207 | CONF-QRDA1-341 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer[child::observation] | Each result organizers SHALL contain one or more result observations (templateId 2.16.840.1.113883.10.20.1.31). | Each result organizers SHALL contain one or more result observations (templateId 2.16.840.1.113883.10.20.1.31). | Conditional | Error | ||
| 14208 | CONF-QRDA1-342 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/code | The result section SHALL contain Section / code. | The result section SHALL contain Section / code. | Conditional | Error | ||
| 14209 | CONF-QRDA1-343 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/code | The value for Section / code SHALL be 30954-2 Relevant diagnostic tests and/or laboratory data 2.16.840.1.113883.6.1 LOINC STATIC. | The value for Section / code SHALL be 30954-2 Relevant diagnostic tests and/or laboratory data 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | ||
| 14210 | CONF-QRDA1-344 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/title | The results section SHALL contain Section / title. | The results section SHALL contain Section / title. | Conditional | Error | ||
| 14211 | CONF-QRDA1-345 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "results". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "results". | Conditional | Warning | ||
| 14212 | CONF-QRDA1-346 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer | result section SHALL contain at least one 'organizer' entry | If the Result section is present, it SHALL contain at least one 'organizer' entry. | Conditional | Error | ||
| 14213 | CONF-QRDA1-346 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer | A result organizer (templateId 2.16.840.1.113883.10.20.1.32) SHALL be represented with Organizer. | A result organizer (templateId 2.16.840.1.113883.10.20.1.32) SHALL be represented with Organizer. | Conditional | Error | ||
| 14214 | CONF-QRDA1-347 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/@moodCode | The value for Organizer / moodCode in a result organizer SHALL be EVN. | The value for Organizer / moodCode in a result organizer SHALL be EVN. | Conditional | Error | ||
| 14215 | CONF-QRDA1-348 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/id | A result organizer SHALL contain at least one Organizer / id. | A result organizer SHALL contain at least one Organizer / id. | Conditional | Error | ||
| 14217 | CONF-QRDA1-350 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/code | A result organizer Organizer / code is missing | A result organizer SHALL contain exactly one Organizer / code. | Conditional | Error | ||
| 14218 | CONF-QRDA1-355 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component | A result organizer SHALL contain one or more Organizer / component. | A result organizer SHALL contain one or more Organizer / component. | Conditional | Error | ||
| 14219 | CONF-QRDA1-358 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component | The target of one or more result organizer Organizer / component relationships SHALL be a result observation. | The target of one or more result organizer Organizer / component relationships SHALL be a result observation. | Conditional | Error | ||
| 14220 | CONF-QRDA1-359 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation | A CMS QRDA Result observation (2.16.840.1.113883.3.249.11.100.10) SHALL confirm to the rules of Result observation (2.16.840.1.113883.10.20.1.31) and SHALL be represented with the observation. | A CMS QRDA Result observation (2.16.840.1.113883.3.249.11.100.10) SHALL confirm to the rules of Result observation (2.16.840.1.113883.10.20.1.31) and SHALL be represented with the observation. | Conditional | Error | ||
| 14221 | CONF-QRDA1-360 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/@moodCode | The value for "Observation / moodCode" in a result observation SHALL be EVN. | The value for "Observation / moodCode" in a result observation SHALL be EVN. | Conditional | Error | ||
| 14222 | CONF-QRDA1-361 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/id | A result observation SHALL contain at least one Observation / id. | A result observation SHALL contain at least one Observation / id. | Conditional | Error | ||
| 14223 | CONF-QRDA1-362 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/statusCode | A result observation SHALL contain exactly one Observation / statusCode. | A result observation SHALL contain exactly one Observation / statusCode. | Conditional | Error | ||
| 14224 | CONF-QRDA1-363 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/effectiveTime | A result observation Observation / effectiveTime is missing | A result observation SHALL contain exactly one Observation / effectiveTime, which represents the biologically relevant time (e.g. time the specimen was obtained from the patient). | Conditional | Error | ||
| 14225 | CONF-QRDA1-363 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/effectiveTime | results section observation 'effectiveTime' SHALL be the time stamp of the following format YYYYMMDDHHMMSS. | If the results section is present, the 'effectiveTime' element SHALL be the time stamp of the following format YYYYMMDDHHMMSS. | Conditional | Error | ||
| 14229 | CONF-QRDA1-365 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/code/@code with value@codeSystem | The results observation SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_F-Results of the Downloadable Resource table identifying clinical data according to the specifications.” | The results observation SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_F-Results of the Downloadable Resource table identifying clinical data according to the specifications. | Conditional | Error | ||
| 14231 | CONF-QRDA1-368 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value | A result observation SHALL contain exactly one Observation / value | A result observation SHALL contain exactly one Observation / value. | Conditional | Error | ||
| 14232 | CONF-QRDA1-369 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value | results observation 'value' SHALL be greater than or equal to the MINIMUM VALUE and less than or equal to the MAXIMUM VALUE (as referenced in Appendix_F-Results of the Downloadable Resource table) for the observation 'code' submitted | The Results observation 'value' SHALL be greater than or equal to the MINIMUM VALUE and less than or equal to the MAXIMUM VALUE (as referenced in Appendix_F-Results of the Downloadable Resource table) for the observation 'code' submitted. | Conditional | Error | ||
| 14233 | CONF-QRDA1-369 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value/@unit | results observation 'unit' value SHALL be submitted using a valid UNIT OF MEASURE (as referenced in Appendix_F-Results of the Downloadable Resource table) for the observation 'code' submitted | The Results observation 'unit' value SHALL be submitted using a valid UNIT OF MEASURE (as referenced in Appendix_F-Results of the Downloadable Resource table) for the observation 'code' submitted. | Conditional | Error | ||
| 14234 | CONF-QRDA1-370 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/interpretationCode | A result observation SHOULD contain exactly one Observation / interpretationCode. | A result observation SHOULD contain exactly one Observation / interpretationCode. | Conditional | Warning | ||
| 14235 | CONF-QRDA1-371 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/referenceRange | A result observation SHOULD contain one or more Observation / referenceRange to show the normal range of values for the observation result. | A result observation SHOULD contain one or more Observation / referenceRange to show the normal range of values for the observation result. | Conditional | Warning | ||
| 14236 | CONF-QRDA1-372 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/referenceRange/observationRange/code | A result observation SHALL NOT contain Observation / referenceRange / observationRange / code, as this attribute is not used by the HL7 Clinical Statement or Lab Committee models. | A result observation SHALL NOT contain Observation / referenceRange / observationRange / code, as this attribute is not used by the HL7 Clinical Statement or Lab Committee models. | Conditional | Error | ||
| 14237 | CONF-QRDA1-373.1 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/@negationInd | The value for observation/@negationInd in Result observation SHALL be either "true" or "false" | The value for observation/@negationInd in Result Observation SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards | |
| 14238 | CONF-QRDA1-373.3 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Result Negation Reason (2.16.840.1.113883.3.249.11.100.30) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24) | CMS EHR QRDA Result Negation Reason (2.16.840.1.113883.3.249.11.100.30) SHALL conform to the rules of CMS EHR QRDA negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | ||
| 14239 | CONF-QRDA1-373.4 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS. | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14240 | CONF-QRDA1-373.5 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14241 | CONF-QRDA1-373.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14242 | CONF-QRDA1-373.6 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14243 | CONF-QRDA1-373.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codesystem | The value for Result Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the F1-Results(negation) tab of the Downloadable Resources table. | The value for Result Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the F1-Results(negation) tab of the Downloadable Resources table. | Conditional | Error | ||
| 14245 | CONF-QRDA1-373.8 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | ||
| 14246 | CONF-QRDA1-373.9 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14247 | CONF-QRDA1-373.9 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14248 | CONF-QRDA1-373.7 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | The value for Result Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be present exactly once. | The value for Result Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be present exactly once. | Conditional | Error | ||
| 14249 | CONF-QRDA1-365 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='30954-2']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.32']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/code/@code and observation/code/@codeSystem | The results observation SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. | The results observation SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. | Conditional | Error |
| This is a table with 8 columns and 41 rows | |||||||
| Vital Signs | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | Notes |
| 14402 | CONF-QRDA1-374 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section | if vital signs section is present, it SHALL be submitted exactly once. | If the Vital Signs section is present, it SHALL be present exactly once. | Conditional | Error | |
| 14404 | CONF-QRDA1-374 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/text | The Vital Signs section SHALL contain a narrative block. | The Vital Signs section SHALL contain a narrative block. | Conditional | Error | |
| 14406 | CONF-QRDA1-374 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer | The Vital Signs section SHOULD include one or more vital signs organizers (templateId 2.16.840.1.113883.10.20.1.35) | The Vital Signs section SHOULD include one or more vital signs organizers (templateId 2.16.840.1.113883.10.20.1.35). | Conditional | Warning | |
| 14407 | CONF-QRDA1-374 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation | Each vital signs organizers SHALL contain one or more vital sign observations (templateId 2.16.840.1.113883.10.20.1.31) | Each vital signs organizers SHALL contain one or more vital sign observations (templateId 2.16.840.1.113883.10.20.1.31). | Conditional | Error | |
| 14408 | CONF-QRDA1-375 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/code | The vital signs section SHALL contain Section / code. | The vital signs section SHALL contain Section / code. | Conditional | Error | |
| 14409 | CONF-QRDA1-376 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/code/@code | The value for "Section / code" SHALL be "8716-3" "Vital signs" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "8716-3" "Vital signs" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 14410 | CONF-QRDA1-376 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/code/@codeSystem | The value for "Section / code" SHALL be "8716-3" "Vital signs" 2.16.840.1.113883.6.1 LOINC STATIC. | The value for "Section / code" SHALL be "8716-3" "Vital signs" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 14411 | CONF-QRDA1-377 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/title | The vital signs section SHALL contain Section / title. | The vital signs section SHALL contain Section / title. | Conditional | Error | |
| 14412 | CONF-QRDA1-378 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "vital signs". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "vital signs". | Conditional | Warning | |
| 14413 | CONF-QRDA1-379 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry [organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer | vital signs section SHALL contain at least one 'organizer' entry | The vital signs section SHALL contain at least one 'organizer' entry. | Conditional | Error | |
| 14414 | CONF-QRDA1-379 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer | A result organizer (templateId 2.16.840.1.113883.10.20.1.35) SHALL be represented with Organizer. | A result organizer (templateId 2.16.840.1.113883.10.20.1.35) SHALL be represented with Organizer. | Conditional | Error | |
| 14415 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/@moodCode | The value for Organizer / moodCode in a result organizer SHALL be EVN. | The value for Organizer / moodCode in a result organizer SHALL be EVN. | Conditional | Error | ||
| 14416 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/id | A result organizer SHALL contain at least one Organizer / id. | A result organizer SHALL contain at least one Organizer / id. | Conditional | Error | ||
| 14417 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/statusCode | A result organizer SHALL contain exactly one Organizer / statusCode. | A result organizer SHALL contain exactly one Organizer / statusCode. | Conditional | Error | ||
| 14418 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/code | A result organizer SHALL contain exactly one Organizer / code. | A result organizer SHALL contain exactly one Organizer / code. | Conditional | Error | ||
| 14419 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component | A result organizer SHALL contain one or more Organizer / component. | A result organizer SHALL contain one or more Organizer / component. | Conditional | Error | ||
| 14420 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component | The target of one or more result organizer Organizer / component relationships SHALL be a result observation. | The target of one or more result organizer Organizer / component relationships SHALL be a result observation. | Conditional | Error | ||
| 14421 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation | A result observation SHALL be represented with the observation. | A result observation SHALL be represented with the observation. | Conditional | Error | ||
| 14422 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/@moodCode | The value for "Observation / moodCode" in a result observation SHALL be EVN. | The value for "Observation / moodCode" in a result observation SHALL be EVN. | Conditional | Error | ||
| 14423 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/id | A result observation SHALL contain at least one Observation / id. | A result observation SHALL contain at least one Observation / id. | Conditional | Error | ||
| 14424 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/statusCode | A result observation SHALL contain exactly one Observation / statusCode. | A result observation SHALL contain exactly one Observation / statusCode. | Conditional | Error | ||
| 14425 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/effectiveTime | A result observation Observation / effectiveTime is missing | A result observation SHALL contain exactly one Observation / effectiveTime, which represents the biologically relevant time (e.g. time the specimen was obtained from the patient). | Conditional | Error | ||
| 14426 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/effectiveTime | results section observation 'effectiveTime' SHALL be the time stamp of the following format YYYYMMDDHHMMSS | If the results section is present, the 'effectiveTime' element SHALL be the time stamp of the following format YYYYMMDDHHMMSS. | Conditional | Error | ||
| 14430 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/code/@code with value@codeSystem | The vital signs observation SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_E-Vital_Signs of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | The vital signs observation SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_E-Vital_Signs of the Downloadable Resource table identifying clinical data according to the specifications. | Conditional | Error | ||
| 14432 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value | A result observation SHALL contain exactly one Observation / value | A result observation SHALL contain exactly one Observation / value. | Conditional | Error | ||
| 14433 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value | results observation 'value' SHALL be greater than or equal to the MINIMUM VALUE and less than or equal to the MAXIMUM VALUE (as referenced in Appendix_E-Vital_Signs of the Downloadable Resource table) for the observation 'code' submitted | The Results observation 'value' SHALL be greater than or equal to the MINIMUM VALUE and less than or equal to the MAXIMUM VALUE (as referenced in Appendix_E-Vital_Signs of the Downloadable Resource table) for the observation 'code' submitted. | Conditional | Error | ||
| 14434 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/value/@unit | results observation 'unit' value SHALL be submitted using a valid UNIT OF MEASURE (as referenced in Appendix_E-Vital_Signs of the Downloadable Resource table) for the observation 'code' submitted | The Results observation 'unit' value SHALL be submitted using a valid UNIT OF MEASURE (as referenced in Appendix_E-Vital_Signs of the Downloadable Resource table) for the observation 'code' submitted. | Conditional | Error | ||
| 14435 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/interpretationCode | A result observation SHOULD contain exactly one Observation / interpretationCode. | A result observation SHOULD contain exactly one Observation / interpretationCode. | Conditional | Warning | ||
| 14436 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/referenceRange | A result observation SHOULD contain one or more Observation / referenceRange to show the normal range of values for the observation result. | A result observation SHOULD contain one or more Observation / referenceRange to show the normal range of values for the observation result. | Conditional | Warning | ||
| 14437 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/referenceRange/observationRange/code | A result observation SHALL NOT contain Observation / referenceRange / observationRange / code, as this attribute is not used by the HL7 Clinical Statement or Lab Committee models. | A result observation SHALL NOT contain Observation / referenceRange / observationRange / code, as this attribute is not used by the HL7 Clinical Statement or Lab Committee models. | Conditional | Error | ||
| 14438 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/@negationInd | The value for observation/@negationInd in Vital sign observation SHALL be either "true" or "false" | The value for observation/@negationInd in Vital sign observation SHALL be either "true" or "false". | Conditional | Error | Allowable valueset of negationInd is from the HL7 CDA/QRDA standards | |
| 14439 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation | CMS EHR QRDA Vital sign Negation Reason (2.16.840.1.113883.3.249.11.100.31) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24) | CMS EHR QRDA Vital sign Negation Reason (2.16.840.1.113883.3.249.11.100.31) SHALL confirm to the rules of CMS EHR QRDA Negation reason (2.16.840.1.113883.3.249.11.100.24). | Conditional | Error | ||
| 14440 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/@classCode | The value for observation/@classCode in a Negation Reason SHALL be OBS | The value for observation/@classCode in a Negation Reason SHALL be OBS. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14441 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/@moodCode | The value for observation/@moodCode in a Negation Reason SHALL be EVN | The value for observation/@moodCode in a Negation Reason SHALL be EVN. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14442 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/code/@code | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14443 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/code/@codeSystem | In the Negation Reason, the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4 | In the Negation Reason, the value for observation/code@code SHALL be ASSERTION and the value for observation/code@codeSystem SHALL be 2.16.840.1.113883.5.4. | Conditional | Error | ||
| 14444 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | The value for Vital sign Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the E1-Vital_Signs(negation) tab of the Downloadable Resources table. | The value for Vital sign Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be from the E1-Vital_Signs(negation) tab of the Downloadable Resources table. | Conditional | Error | ||
| 14446 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/statusCode | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC | The value for observation/statusCode in a Negation Reason SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | ||
| 14447 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime is missing | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14448 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/effectiveTime | Negation Reason template observation/effectiveTime SHALL be at least precise to the day (YYYYMMDD) | Negation Reason SHALL contain exactly one observation/effectiveTime, which SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | ||
| 14449 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='8716-3']/section/entry[organizer/templateId/@root='2.16.840.1.113883.10.20.1.35']/organizer/component[observation/templateId/@root='2.16.840.1.113883.10.20.1.31']/observation/entryRelationship/@typeCode='RSON'/observation/value/@code and /observation/value/@codeSystem | The value for Vital sign Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be present exactly once. | The value for Vital sign Negation Reason observation/value/@code and observation/value/@codeSystem SHALL be present exactly once. | Conditional | Error |
| This is a table with 8 columns and 13 rows | |||||||
| Structural Data | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 14602 | CONF-QRDA1-380 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section | if structural data section is present, it SHALL be submitted exactly once. Structured Data Section SHALL contain section/code element, the value of section/code/@code SHALL be STRUCT and the value of section/code/@codeSystem SHALL be 2.16.840.1.113883.3.249.12. | If the Structural Data section is present, it SHALL be present exactly once. Structured Data Section SHALL contain section/code element, the value of section/code/@code SHALL be STRUCT and the value of section/code/@codeSystem SHALL be 2.16.840.1.113883.3.249.12. | Conditional | Error | |
| 14603 | CONF-QRDA1-380 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/title | structural data section title is missing | The structural data section title SHALL be present. | Conditional | Error | |
| 14604 | CONF-QRDA1-380 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/title | structural data section 'title' value SHOULD be 'Structural Data' | The structural data section 'title' attribute value SHOULD be 'Structural Data'. | Conditional | Warning | |
| 14605 | CONF-QRDA1-380 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry | structural data section SHALL contain at least one 'act' entry | If the Structural Data section is present, it SHALL contain at least one 'act' entry. | Conditional | Error | |
| 14606 | CONF-QRDA1-381 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/@classCode | structural data act 'classcode' value SHALL be 'ACT' | The structural data act 'classcode' attribute value SHALL be 'ACT'. | Conditional | Error | |
| 14607 | CONF-QRDA1-382 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/@moodCode | structural data act 'moodCode' value SHALL be 'EVN' | The structural data act 'moodCode' attribute value SHALL be 'EVN'. | Conditional | Error | |
| 14608 | CONF-QRDA1-383 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/id | structural data section 'id' element SHOULD be present at least once | The structural data act 'id' element SHOULD be present at least once. | Conditional | Warning | |
| 14610 | CONF-QRDA1-385 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/code/@code with value@codeSystem | The structural data section SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_K-Structural_Codes of the Downloadable Resource table (for the current program year) identifying structural measure data according to the specifications. | The structural data section SHALL contain exactly one act combination of 'code' and 'codeSystem' attribute values from Appendix_K-Structural_Codes of the Downloadable Resource table identifying structural measure data according to the specifications. | Conditional | Error | |
| 14612 | CONF-QRDA1-386 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/effectiveTime | structural data code 'effectiveTime' element is missing | If the structural data section is present, the 'effectiveTime' SHALL be submitted exactly once. | Conditional | Error | |
| 14613 | CONF-QRDA1-386 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/effectiveTime | structural data 'effectiveTime' SHALL be at least precise to the day (YYYYMMDD). | If the structural data section is present, the 'effectiveTime' element SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 14619 | CONF-QRDA1-389 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/templateId | The structural data section SHALL contain a corresponding 'templateId' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table to identify a structural data. | The structural data section SHALL contain a corresponding 'templateId' from Appendix_AJ-Custom_Template_IDs of the Downloadable Resource table to identify a structural data. | Conditional | Error | |
| 14620 | CONF-QRDA1-390 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/templateId | Each act in structural data section SHALL contain a templateId from Appendix_AJ-Custom_Template_IDs | Each act in structural data section SHALL contain a templateId from Appendix_AJ-Custom_Template_IDs. | Conditional | Error | |
| 14621 | CONF-QRDA1-390 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='STRUCT']/section/entry/act/code | The structural data section SHALL contain an act 'code' corresponding to a submitted 'templateId. | The structural data section SHALL contain an act 'code' corresponding to a submitted 'templateId. | Conditional | Error |
| This is a table with 8 columns and 26 rows | |||||||
| Advance Directives | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 14701 | CONF-QRDA1-470 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section | If the Advance directives section (templateId 2.16.840.1.113883.10.20.1.1) is present, it SHALL be present exactly once. | If the Advance directives section (templateId 2.16.840.1.113883.10.20.1.1) is present, it SHALL be present exactly once. | Conditional | Error | |
| 14702 | CONF-QRDA1-470 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/text | The Advance directives section SHALL contain a narrative block. | The Advance directives section SHALL contain a narrative block. | Conditional | Error | |
| 14704 | CONF-QRDA1-471 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/code | The advance directive section SHALL contain Section / code. | The advance directive section SHALL contain Section / code. | Conditional | Error | |
| 14705 | CONF-QRDA1-472 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/code | The value for “Section / code” SHALL be “42348-3” “Advance directives” 2.16.840.1.113883.6.1 LOINC STATIC. | The value for “Section / code” SHALL be “42348-3” “Advance directives” 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 14706 | CONF-QRDA1-473 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/title | The advance directive section SHALL contain Section / title. | The advance directive section SHALL contain Section / title. | Conditional | Error | |
| 14707 | CONF-QRDA1-474 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “advance directives”. | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “advance directives”. | Conditional | Warning | |
| 14708 | CONF-QRDA1-475 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation | Advance directive observation SHALL be represented with Observation | Advance directive observation SHALL be represented with Observation. | Conditional | Error | |
| 14709 | CONF-QRDA1-476 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/@classCode | The value for “Observation / @classCode” in an advance directive observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC. | The value for “Observation / @classCode” in an advance directive observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 14710 | CONF-QRDA1-477 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/@moodCode | The value for “Observation / @moodCode” in an advance directive observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for “Observation / @moodCode” in an advance directive observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 14711 | CONF-QRDA1-478 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/id | An advance directive observation SHALL contain at least one Observation / id. | An advance directive observation SHALL contain at least one Observation / id. | Conditional | Error | |
| 14712 | CONF-QRDA1-479 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/statusCode | An advance directive observation SHALL contain exactly one Observation / statusCode. | An advance directive observation SHALL contain exactly one Observation / statusCode. | Conditional | Error | |
| 14713 | CONF-QRDA1-480 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/statusCode | The value for “Observation / statusCode” in an advance directive observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for “Observation / statusCode” in an advance directive observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 14714 | CONF-QRDA1-481 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/effectiveTime | An advance directive observation SHOULD contain exactly one Observation / effectiveTime, to indicate the effective time of the directive. | An advance directive observation SHOULD contain exactly one Observation / effectiveTime, to indicate the effective time of the directive. | Conditional | Warning | |
| 14716 | CONF-QRDA1-483 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/code | The value for “Observation / code” in an advance directive observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode STATIC 20061017. | The value for “Observation / code” in an advance directive observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode STATIC 20061017. | Conditional | Warning | |
| 14717 | CONF-QRDA1-485 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/participant | A verification of an advance directive observation (templateId 2.16.840.1.113883.10.20.1.58) SHALL be represented with Observation / participant. | A verification of an advance directive observation (templateId 2.16.840.1.113883.10.20.1.58) SHALL be represented with Observation / participant. | Conditional | Error | |
| 14718 | CONF-QRDA1-486 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/participant | An advance directive observation SHALL include one or more verifications. | An advance directive observation SHALL include one or more verifications. | Conditional | Error | |
| 14719 | CONF-QRDA1-487 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/participant/@typeCode | The value for “Observation / participant / @typeCode” in a verification SHALL be “VRF” “Verifier” 2.16.840.1.113883.5.90 ParticipationType STATIC. | The value for “Observation / participant / @typeCode” in a verification SHALL be “VRF” “Verifier” 2.16.840.1.113883.5.90 ParticipationType STATIC. | Conditional | Error | |
| 14720 | CONF-QRDA1-488 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/participant/time | A verification of an advance directive observation SHOULD contain Observation / participant / time. | A verification of an advance directive observation SHOULD contain Observation / participant / time. | Conditional | Warning | |
| 14721 | CONF-QRDA1-489 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/participant/time/@value | time element SHALL be at least precise to the day (YYYYMMDD) | time element SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error | |
| 14723 | CONF-QRDA1-491 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/entryRelationship/observation | An advance directive observation SHALL contain exactly one advance directive status observation. | An advance directive observation SHALL contain exactly one advance directive status observation. | Conditional | Error | |
| 14724 | CONF-QRDA1-492 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/entryRelationship/observation | An advance directive status observation (templateId 2.16.840.1.113883.10.20.1.37) SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57) | An advance directive status observation (templateId 2.16.840.1.113883.10.20.1.37) SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57). | Conditional | Error | |
| 14725 | CONF-QRDA1-493 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/entryRelationship/observation/value | The value for “Observation / value” in an advance directive status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.1 AdvanceDirectiveStatusCode STATIC 20061017. | The value for “Observation / value” in an advance directive status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.1 AdvanceDirectiveStatusCode STATIC 20061017. | Conditional | Error | |
| 14726 | CONF-QRDA1-494 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/reference/ExternalDocument | An advance directive reference (templateId 2.16.840.1.113883.10.20.1.36) SHALL be represented with Observation / reference / ExternalDocument. | An advance directive reference (templateId 2.16.840.1.113883.10.20.1.36) SHALL be represented with Observation / reference / ExternalDocument. | Conditional | Error | |
| 14727 | CONF-QRDA1-496 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/reference/@typeCode | The value for “Observation / reference / @typeCode” in an advance directive reference SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | The value for “Observation / reference / @typeCode” in an advance directive reference SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 14728 | CONF-QRDA1-497 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='42348-3']/section/entry/observation/reference/ExternalDocument/id | ExternalDocument SHALL contain at least one ExternalDocument / id. | ExternalDocument SHALL contain at least one ExternalDocument / id. | Conditional | Error |
| This is a table with 8 columns and 13 rows | ||||||||
| Plan of Care | ||||||||
| Error Code (Structural Data) | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES | |
| 14801 | CONF-QRDA1-550 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/ | If the plan of care section (templateId 2.16.840.1.113883.10.20.1.10) is present, it SHALL be present exactly once. | If the plan of care section (templateId 2.16.840.1.113883.10.20.1.10) is present, it SHALL be present exactly once. | Conditional | Error | ||
| 14802 | CONF-QRDA1-550 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/text | The plan of care section SHALL contain a narrative block. | The plan of care section SHALL contain a narrative block. | Conditional | Error | ||
| 14803 | CONF-QRDA1-550 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry/observation[templateId/@root='2.16.840.1.113883.10.20.1.25] | Plan of Care section SHALL include one or more CMS QRDA Plan of care activity (2.16.840.1.113883.3.249.11.100.2) and SHALL confirm to the rules of Plan of care activity (2.16.840.1.113883.10.20.1.25). | Plan of Care section SHALL include one or more CMS QRDA Plan of care activity (2.16.840.1.113883.3.249.11.100.2) and SHALL confirm to the rules of Plan of care activity (2.16.840.1.113883.10.20.1.25). | Conditional | Error | ||
| 14804 | CONF-QRDA1-551 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/code | The plan of care section SHALL contain Section / code. | The plan of care section SHALL contain Section / code. | Conditional | Error | ||
| 14805 | CONF-QRDA1-552 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/code | The value for “Section / code” SHALL be “18776-5” “Treatment plan” 2.16.840.1.113883.6.1 LOINC STATIC. | The value for “Section / code” SHALL be “18776-5” “Treatment plan” 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | ||
| 14806 | CONF-QRDA1-553 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/title | The plan of care section SHALL contain Section / title. | The plan of care section SHALL contain Section / title. | Conditional | Error | ||
| 14807 | CONF-QRDA1-554 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “plan”. | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “plan”. | Conditional | Warning | ||
| 14808 | CONF-QRDA1-555 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry[Act|Encounter|Observation|Procedure|SubstanceAdministration|Supply] | Plan of care activity SHALL be represented with Observation. | Plan of care activity SHALL be represented with Observation. | Conditional | Error | ||
| 14809 | CONF-QRDA1-556 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry[Act|Encounter|Observation|Procedure|SubstanceAdministration|Supply]/id | A plan of care activity Observation / id missing. | A plan of care activity SHALL contain at least one Observation/ id. | Conditional | Error | ||
| 14811 | CONF-QRDA1-560 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entryObservation]/@moodCode | The value for “Observation / @moodCode” in a plan of care activity SHALL be [“INT” (intent) | “PRMS” (promise) | “PRP” (proposal) | “RQO” (request) | “GOL” (goal)] 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for “Observation / @moodCode” in a plan of care activity SHALL be [“INT” (intent) | “PRMS” (promise) | “PRP” (proposal) | “RQO” (request) | “GOL” (goal)] 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards | |
| 14812 | CONF-QRDA1-561 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry/Observation]/code | The Plan of care section SHALL contain exactly one observation combination of 'code' and 'codeSystem' attribute values from Appendix_I-Plan_of_Care of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | The Plan of care section SHALL contain exactly one observation combination of 'code' and 'codeSystem' attribute values from Appendix_I-Plan_of_Care of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | Conditional | Error | ||
| 14813 | CONF-QRDA1-562 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry/Observation]/statusCode | The value for "Observation / statusCode" in a Plan of care observation SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.20.10 PlanOfCareStatusCode STATIC 20061017. | The value for "Observation / statusCode" in a Plan of care observation SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.20.10 PlanOfCareStatusCode STATIC 20061017. | Conditional | Warning | ||
| 14814 | CONF-QRDA1-563 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='18776-5']/section/entry/Observation]/effectiveTime | Plan of care observation 'effectiveTime' in the Plan of care activity entry SHALL be the time stamp of the following format YYYYMMDDHHMMSS | Plan of care observation 'effectiveTime' in the Plan of care activity entry SHALL be the time stamp of the following format YYYYMMDDHHMMSS. | Conditional | Error |
| This is a table with 8 columns and 20 rows | |||||||
| Encounters | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 14901 | CONF-QRDA1-630 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/ | If the Encounters section (templateId 2.16.840.1.113883.10.20.1.3) is present, it SHALL be present exactly once. | If the Encounters section (templateId 2.16.840.1.113883.10.20.1.3) is present, it SHALL be present exactly once. | Conditional | Error | |
| 14902 | CONF-QRDA1-630 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/text | The Encounters section SHALL contain a narrative block. | The Encounters section SHALL contain a narrative block. | Conditional | Error | |
| 14904 | CONF-QRDA1-631 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/code | The encounters section SHALL contain Section / code. | The encounters section SHALL contain Section / code. | Conditional | Error | |
| 14905 | CONF-QRDA1-632 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/code | The value for “Section / code” SHALL be “46240-8” “History of encounters” 2.16.840.1.113883.6.1 LOINC STATIC. | The value for “Section / code” SHALL be “46240-8” “History of encounters” 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 14906 | CONF-QRDA1-633 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/title | The encounters section SHALL contain Section / title. | The encounters section SHALL contain Section / title. | Conditional | Error | |
| 14907 | CONF-QRDA1-634 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “encounters”. | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “encounters”. | Conditional | Warning | |
| 14908 | CONF-QRDA1-635 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter | Encounter activity SHALL be represented with Encounter. | Encounter activity SHALL be represented with Encounter. | Conditional | Error | |
| 14909 | CONF-QRDA1-636 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/@classCode | The value for “Encounter / @classCode” in an encounter activity SHALL be “ENC” 2.16.840.1.113883.5.6 ActClass STATIC. | The value for “Encounter / @classCode” in an encounter activity SHALL be “ENC” 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 14910 | CONF-QRDA1-637 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/@moodCode | The value for “Encounter / @moodCode” in an encounter activity SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for “Encounter / @moodCode” in an encounter activity SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 14911 | CONF-QRDA1-638 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/id | An encounter activity SHALL contain at least one Encounter / id. | An encounter activity SHALL contain at least one Encounter / id. | Conditional | Error | |
| 14912 | CONF-QRDA1-639 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/code | An encounter activity Encounter / code is missing. | An encounter activity SHALL contain exactly one Encounter / code. | Conditional | Error | |
| 14913 | CONF-QRDA1-640 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/code | The value for “Encounter / code” in an encounter activity SHALL be selected from ValueSet 2.16.840.1.113883.1.11.13955 EncounterCode 2.16.840.1.113883.5.4 ActCode DYNAMIC. | The value for “Encounter / code” in an encounter activity SHALL be selected from ValueSet 2.16.840.1.113883.1.11.13955 EncounterCode 2.16.840.1.113883.5.4 ActCode DYNAMIC. | Conditional | Error | |
| 14914 | CONF-QRDA1-641 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/effectiveTime | An encounter activity Encounter / effectiveTime missing. | An encounter activity SHALL contain exactly one Encounter / effectiveTime, to indicate date, time, and/or duration of an encounter. | Conditional | Error | |
| 14915 | CONF-QRDA1-649 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/participant | A location participation (templateId 2.16.840.1.113883.10.20.1.45) SHALL be represented with the participant participation. | A location participation (templateId 2.16.840.1.113883.10.20.1.45) SHALL be represented with the participant participation. | Conditional | Error | |
| 14916 | CONF-QRDA1-650 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/participant/@typeCode | The value for “participant / @typeCode” in a location participation SHALL be “LOC” 2.16.840.1.113883.5.90 ParticipationType STATIC. | The value for “participant / @typeCode” in a location participation SHALL be “LOC” 2.16.840.1.113883.5.90 ParticipationType STATIC. | Conditional | Error | |
| 14917 | CONF-QRDA1-652 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/participant/participantRole/@classCode | The value for “participant / participantRole / @classCode” in a location participation SHALL be “SDLOC” “Service delivery location” 2.16.840.1.113883.5.110 RoleClass STATIC. | The value for “participant / participantRole / @classCode” in a location participation SHALL be “SDLOC” “Service delivery location” 2.16.840.1.113883.5.110 RoleClass STATIC. | Conditional | Error | |
| 14918 | CONF-QRDA1-654 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/participant/participantRole/code | The value for “participant / participantRole / code” in a location participation SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.17660 ServiceDeliveryLocationRoleType 2.16.840.1.113883.5.111 RoleCode DYNAMIC. | The value for “participant / participantRole / code” in a location participation SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.17660 ServiceDeliveryLocationRoleType 2.16.840.1.113883.5.111 RoleCode DYNAMIC. | Conditional | Warning | |
| 14919 | CONF-QRDA1-656 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/participant/participantRole/playingEntity/@classCode | The value for “participant / participantRole / playingEntity / @classCode” in a location participation SHALL be “PLC” “Place” 2.16.840.1.113883.5.41 EntityClass STATIC. | The value for “participant / participantRole / playingEntity / @classCode” in a location participation SHALL be “PLC” “Place” 2.16.840.1.113883.5.41 EntityClass STATIC. | Conditional | Error | |
| 14920 | CONF-QRDA1-641 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='46240-8']/section/entry/encounter/effectiveTime | An Encounter 'effectiveTime' in the Encounter activity entry SHALL be at least precise to the day (YYYYMMDD) | Encounter 'effectiveTime' in the Encounter activity entry SHALL be at least precise to the day (YYYYMMDD). | Conditional | Error |
| This is a table with 8 columns and 17 rows | |||||||
| Social History | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 15001 | CONF-QRDA1-590 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section | If the Social history section (templateId 2.16.840.1.113883.10.20.1.15) is present, it SHALL be present exactly once. | If the Social history section (templateId 2.16.840.1.113883.10.20.1.15) is present, it SHALL be present exactly once. | Conditional | Error | |
| 15002 | CONF-QRDA1-590 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/text | The Social history section SHALL contain a narrative block. | The Social history section SHALL contain a narrative block. | Conditional | Error | |
| 15004 | CONF-QRDA1-591 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/code | The social history section SHALL contain Section / code. | The social history section SHALL contain Section / code. | Conditional | Error | |
| 15005 | CONF-QRDA1-592 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/code | The value for “Section / code” SHALL be “29762-2” “Social history” 2.16.840.1.113883.6.1 LOINC STATIC. | The value for “Section / code” SHALL be “29762-2” “Social history” 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 15006 | CONF-QRDA1-593 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/title | The social history section SHALL contain Section / title. | The social history section SHALL contain Section / title. | Conditional | Error | |
| 15007 | CONF-QRDA1-594 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “social history”. | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “social history”. | Conditional | Warning | |
| 15008 | CONF-QRDA1-595 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation | A Social history observation SHALL be represented with Observation. | A Social history observation SHALL be represented with Observation. | Conditional | Error | |
| 15009 | CONF-QRDA1-596 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/@classCode | The value for “Observation / @classCode” in a social history observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC. | The value for “Observation / @classCode” in a social history observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | |
| 15010 | CONF-QRDA1-597 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/@moodCode | The value for “Observation / @moodCode” in a social history observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for “Observation / @moodCode” in a social history observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 15011 | CONF-QRDA1-598 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/id | A social history observation SHALL contain at least one Observation / id. | A social history observation SHALL contain at least one Observation / id. | Conditional | Error | |
| 15012 | CONF-QRDA1-599 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/statusCode | A social history observation Observation / statusCode missing. | A social history observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 15013 | CONF-QRDA1-600 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/statusCode/@code | The value for “Observation / statusCode” in a social history observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for “Observation / statusCode” in a social history observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 15014 | CONF-QRDA1-601 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/code | The value for “Observation / code” in a social history observation SHALL be selected from Appendix_J-Social_History. | The value for “Observation / code” in a social history observation SHALL be selected from Appendix _J-Social_History. | Conditional | Error | |
| 15015 | CONF-QRDA1-604 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/entryRelationShip/observation[templateId/@root=' 2.16.840.1.113883.10.20.1.56'] | A social history observation SHALL contain exactly one CMS QRDA Social history status observation (2.16.840.1.113883.3.249.11.100.4) and SHALL confirm to the rules of Social history status observation (2.16.840.1.113883.10.20.1.56). |
A social history observation SHALL contain exactly one CMS QRDA Social history status observation (2.16.840.1.113883.3.249.11.100.4) and SHALL confirm to the rules of Social history status observation (2.16.840.1.113883.10.20.1.56). | Conditional | Error | |
| 15016 | CONF-QRDA1-605 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/entryRelationShip/observation[templateId/@root=' 2.16.840.1.113883.10.20.1.56'] | Social history status observation SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57) | Social history status observation SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57). | Conditional | Error | |
| 15017 | CONF-QRDA1-606 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component[section/code/@code='29762-2']/section/entry/observation/entryRelationShip/observation[templateId/@root=' 2.16.840.1.113883.10.20.1.56']/value | The value for “Observation / value” in a social history status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.17 SocialHistoryStatusCode STATIC 20061017. | The value for “Observation / value” in a social history status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.17 SocialHistoryStatusCode STATIC 20061017. | Conditional | Error |
| This is a table with 8 columns and 8 rows | |||||||
| Common Templates | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 15101 | HL7 CCD Standard | self::Observation | A status observation (templateId 2.16.840.1.113883.10.20.1.57) SHALL be represented with Observation. | A status observation (templateId 2.16.840.1.113883.10.20.1.57) SHALL be represented with Observation. | Conditional | Error | |
| 15102 | HL7 CCD Standard | parent::*[cda:entryRelationship/@typeCode='REFR'] | A status observation SHALL be the target of an entryRelationship whose value for "entryRelationship / typeCode" SHALL be "REFR" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC | A status observation SHALL be the target of an entryRelationship whose value for "entryRelationship / typeCode" SHALL be "REFR" 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. | Conditional | Error | |
| 15103 | HL7 CCD Standard | @moodCode='EVN' | The value for "Observation / moodCode" in a status observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC | The value for "Observation / moodCode" in a status observation SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | |
| 15104 | HL7 CCD Standard | cda:code[@code='33999-4'][@codeSystem='2.16.840.1.113883.6.1'] | The value for "Observation / code" in a status observation SHALL be "33999-4" "Status" 2.16.840.1.113883.6.1 LOINC STATIC | The value for "Observation / code" in a status observation SHALL be "33999-4" "Status" 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 15105 | HL7 CCD Standard | count(cda:statusCode)=1 | A social history observation status observation missing | A status observation SHALL contain exactly one Observation / statusCode. | Conditional | Error | |
| 15106 | HL7 CCD Standard | cda:statusCode[@code='completed'] | The value for "Observation / statusCode" in a status observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for "Observation / statusCode" in a status observation SHALL be "completed" 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 15107 | HL7 CCD Standard | cda:observation (count(@*)=2) | A status observation SHALL NOT contain any additional Observation attributes. | A status observation SHALL NOT contain any additional Observation attributes. | Conditional | Error | |
| 15108 | HL7 CCD Standard | cda:participant | A status observation SHALL NOT contain any Observation participants. | A status observation SHALL NOT contain any Observation participants. | Conditional | Error |
| This is a table with 8 columns and 21 rows | |||||||
| Medical Equipment | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 15201 | CONF-QRDA1-657 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8'] | If Medical equipment section is present, it SHALL be submitted exactly once. | If Medical equipment section is present, it SHALL be present exactly once. | Conditional | Error | |
| 15202 | CONF-QRDA1-657 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/text | The Medical equipment section SHALL contain a narrative block | The medical equipment section SHALL contain a narrative block. | Conditional | Error | |
| 15203 | CONF-QRDA1-658 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/code | The medical equipment section SHALL contain Section / code | The medical equipment section SHALL contain Section / code. | Conditional | Error | |
| 15204 | CONF-QRDA1-659 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/code/@code | The value for “Section / code / @code” SHALL be “46264-8” “History of medical device use”. | The value for 'Section/code/@code' SHALL be '46264-8' 'History of medical device use'. | Conditional | Error | |
| 15205 | CONF-QRDA1-659 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/code/@codeSystem | The value for “Section / code / @codeSystem” SHALL be 2.16.840.1.113883.6.1 LOINC STATIC. | The value for 'Section/code/@codeSystem' SHALL be 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 15206 | CONF-QRDA1-660 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/title | The medical equipment section SHALL contain Section / title. | The medical equipment section SHALL contain Section / title. | Conditional | Error | |
| 15207 | CONF-QRDA1-662 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | A supply activity (templateId 2.16.840.1.113883.10.20.1.34) SHALL be represented with Supply. | Conditional | Error | |
| 15208 | CONF-QRDA1-662 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply | The CMS EHR QRDA Report supply activity (2.16.840.1.113883.3.249.11.100.22) SHALL confirm to the rules of Supply Activity (2.16.840.1.113883.10.20.1.34). | The CMS EHR QRDA Report supply activity (2.16.840.1.113883.3.249.11.100.22) SHALL confirm to the rules of Supply Activity (2.16.840.1.113883.10.20.1.34). | Conditional | Error | |
| 15209 | CONF-QRDA1-663 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/@moodCode | The value for Supply / @moodCode in a supply activity SHALL be EVN or INT 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for "Supply / moodCode" in a supply activity SHALL be "EVN" or "INT" 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 15210 | CONF-QRDA1-664 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/id | A supply activity SHALL contain at least one Supply / id. | A supply activity SHALL contain at least one Supply / id. | Conditional | Error | |
| 15211 | CONF-QRDA1-665 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/statusCode | A supply activity Supply / statusCode is missing | A supply activity SHOULD contain exactly one Supply / statusCode. | Conditional | Warning | |
| 15212 | CONF-QRDA1-666 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/effectiveTime | A supply activity SHALL contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | A supply activity SHALL contain exactly one Supply / effectiveTime, to indicate the actual or intended time of dispensing. | Conditional | Error | |
| 15213 | CONF-QRDA1-666 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/effectiveTime | Supply / effectiveTime SHALL be the time stamp of the format YYYYMMDDHHMMSS. | Supply / effectiveTime SHALL be the time stamp of the format YYYYMMDDHHMMSS. | Conditional | Error | |
| 15214 | CONF-QRDA1-667 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/entryRelationship/@typeCode='REFR'/observation | A supply activity SHALL contain exactly one medication status observation (2.16.840.1.113883.10.20.1.47) | A supply activity SHALL contain exactly one medication status observation (2.16.840.1.113883.10.20.1.47). | Conditional | Error | |
| 15215 | CONF-QRDA1-668 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/entryRelationship/@typeCode='REFR'/observation | A medication status observation (templateId 2.16.840.1.113883.10.20.1.47) SHALL conform to the rules of status observation (templateId 2.16.840.1.113883.10.20.1.57). | A medication status observation (templateId 2.16.840.1.113883.10.20.1.47) SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57). | Conditional | Error | |
| 15216 | CONF-QRDA1-669 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/entryRelationship/@typeCode='REFR'/observation/value | The value for Observation / value in a medication status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.7 MedicationStatusCode STATIC 20061017. | The value for Observation / value in a medication status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.7 MedicationStatusCode STATIC 20061017. | Conditional | Error | |
| 15217 | CONF-QRDA1-670 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/participant/participantRole | The CMS EHR QRDA Report Product instance (2.16.840.1.113883.3.249.11.100.23) SHALL confirm to the rules of Product instance (2.16.840.1.113883.10.20.1.52). | The CMS EHR QRDA Report Product instance (2.16.840.1.113883.3.249.11.100.23) SHALL confirm to the rules of Product instance (2.16.840.1.113883.10.20.1.52). | Conditional | Error | |
| 15218 | CONF-QRDA1-671 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/participant/participantRole/playingDevice/code/@code and playingDevice/code/@codeSystem | The playingDevice SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. |
The playingDevice SHALL contain exactly one code element with the combination of 'code' and 'codeSystem' attributes. | Conditional | Error | |
| 15219 | CONF-QRDA1-671 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/participant/participantRole/playingDevice/code/@code and playingDevice/code/@codeSystem | The value for playingDevice / code / @code and playingDevice / code / @codeSystem in a product instance template SHALL be selected from the Appendix_L-Medical Equipment tab of the Downloadable Resource table. | The value for playingDevice / code / @code and playingDevice / code / @codeSystem in a product instance template SHALL be selected from the Appendix_L-Medical Equipment tab of the Downloadable Resource table. | Conditional | Error | |
| 15220 | CONF-QRDA1-672 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/entry/supply/participant/participantRole | A supply activity SHALL contain one or more product instance templates (templateId 2.16.840.1.113883.10.20.1.52) to identify a particular product instance. | A supply activity SHALL contain one or more product instance templates (templateId 2.16.840.1.113883.10.20.1.52) to identify a particular product instance. | Conditional | Error | |
| 15231 | CONF-QRDA1-661 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='46264-8']/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “equipment”. | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “equipment”. | Conditional | Warning |
| This is a table with 8 columns and 30 rows | |||||||
| Family History | |||||||
| Error Code | Reference to CMS QRDA Data Submission Spec | CMS QRDA Data Element | Validation Criteria | Report Error Message | Optionality | Action | NOTES |
| 15301 | CONF-QRDA1-673 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6'] | if family history section is present, it SHALL be submitted exactly once. | If the Family history section is present, it SHALL be present exactly once. | Conditional | Error | |
| 15302 | CONF-QRDA1-673 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/text | The family history section SHALL contain a narrative block | The family history section SHALL contain a narrative block. | Conditional | Error | |
| 15303 | CONF-QRDA1-674 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/code | The family history section SHALL contain Section / code. | The family history section SHALL contain Section / code. | Conditional | Error | |
| 15304 | CONF-QRDA1-675 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/code/@code | The value for "Section / code/@code" SHALL be "10157-6" "History of family member diseases". | The value for 'Section / code/ @code' SHALL be '10157-6' 'History of family member diseases'. | Conditional | Error | |
| 15305 | CONF-QRDA1-675 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/code/@codeSystem | The value for "Section / code/@codeSystem" SHALL be 2.16.840.1.113883.6.1 LOINC STATIC. | The value for 'Section / code/@codeSystem' SHALL be 2.16.840.1.113883.6.1 LOINC STATIC. | Conditional | Error | |
| 15306 | CONF-QRDA1-676 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/title | The family history section SHALL contain Section / title. | The family history section SHALL contain Section / title. | Conditional | Error | |
| 15307 | CONF-QRDA1-677 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/title | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing "family history". | Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing 'family history'. | Conditional | Warning | |
| 15308 | CONF-QRDA1-678 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6'] | The family history section SHALL NOT contain Section / subject. | The family history section SHALL NOT contain Section/subject. | Conditional | Error | |
| 15309 | CONF-QRDA1-679 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation | A family history observation (templateId 2.16.840.1.113883.10.20.1.22) SHALL be represented with Observation. | A family history observation (templateId 2.16.840.1.113883.10.20.1.22) SHALL be represented with Observation. | Conditional | Error | |
| 15310 | CONF-QRDA1-680 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/@moodCode | The value for “Observation / @moodCode” in a family history observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for 'Observation / @moodCode' in a family history observation SHALL be 'EVN' 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 15311 | CONF-QRDA1-681 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/id | A family history observation SHALL contain at least one Observation / id. | A family history observation SHALL contain at least one Observation / id. | Conditional | Error | |
| 15312 | CONF-QRDA1-682 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/statusCode | A family history observation, Observation / statusCode is missing | A family history observation SHALL include exactly one Observation / statusCode. | Conditional | Error | |
| 15313 | CONF-QRDA1-683 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/statusCode | The value for “Observation / statusCode” in a family history observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for 'Observation / statusCode' in a family history observation SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 15314 | CONF-QRDA1-684 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/effectiveTime | A family history observation SHOULD include Observation / effectiveTime. | A family history observation SHOULD include Observation / effectiveTime. | Conditional | Warning | |
| 15315 | CONF-QRDA1-685 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/value@code observation/value@codeSystem | The value for “Observation / value / @code” and “@CodeSystem” in a Family history observation SHALL be present exactly once. | The value for 'Observation / value / @code' and '@CodeSystem' in a Family history observation SHALL be present exactly once. | Conditional | Error | |
| 15316 | CONF-QRDA1-685 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component/observation/value@code and /observation/value@codeSystem | The value for “Observation / value / @code” and “@CodeSystem” in a Family history observation SHALL be selected from Appendix_M-Family_History of the Downloadable Resource table (for the current program year) identifying clinical data according to the specifications. | The value for 'Observation / value / @code' and '@CodeSystem' in a Family history observation SHALL be selected from Appendix_M- Family_History of the Downloadable Resource table identifying clinical data according to the specifications. | Conditional | Error | |
| 15317 | CONF-QRDA1-686 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer | A family history organizer (templateId 2.16.840.1.113883.10.20.1.23) SHALL be represented with Organizer. | A family history organizer (templateId 2.16.840.1.113883.10.20.1.23) SHALL be represented with Organizer. | Conditional | Error | |
| 15318 | CONF-QRDA1-687 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/@classCode | The value for “Organizer / @classCode” in a family history organizer SHALL be “CLUSTER” 2.16.840.1.113883.5.6 ActClass STATIC. | The value for 'Organizer / @classCode' in a family history organizer SHALL be 'CLUSTER' 2.16.840.1.113883.5.6 ActClass STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 15319 | CONF-QRDA1-688 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/@moodCode | The value for “Organizer / @moodCode” in a family history organizer SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. | The value for 'Organizer / @moodCode' in a family history organizer SHALL be 'EVN' 2.16.840.1.113883.5.1001 ActMood STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 15320 | CONF-QRDA1-690 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/statusCode | The value for “Organizer / statusCode” in a family history organizer SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. | The value for 'Organizer / statusCode' in a family history organizer SHALL be 'completed' 2.16.840.1.113883.5.14 ActStatus STATIC. | Conditional | Error | |
| 15321 | CONF-QRDA1-691 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component | A family history organizer SHALL contain one or more Organizer / component. | A family history organizer SHALL contain one or more Organizer / component. | Conditional | Error | |
| 15322 | CONF-QRDA1-692 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component | The target of a family history organizer Organizer / component relationship SHALL be a family history observation. | The target of a family history organizer Organizer / component relationship SHALL be a family history observation. | Conditional | Error | |
| 15323 | CONF-QRDA1-692 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/component | Family history organizer SHALL include one or more CMS EHR QRDA Family history observations (2.16.840.1.13883.3.249.1.100.21) which SHALL conform to the rules of Family history observations (2.16.840.1.113883.10.20.1.22). | Family history organizer SHALL include one or more CMS EHR QRDA Family history observations (2.16.840.1.13883.3.249.1.100.21) which SHALL conform to the rules of Family history observations (2.16.840.1.113883.10.20.1.22). | Conditional | Error | |
| 15324 | CONF-QRDA1-693 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject | A family history organizer, organizer / subject is missing | A family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the family history observations. | Conditional | Error | |
| 15325 | CONF-QRDA1-695 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/@classCode | The value for “RelatedSubject / @classCode” SHALL be “PRS” “Personal relationship” 2.16.840.1.113883.5.110 RoleClass STATIC | The value for 'RelatedSubject / @classCode' SHALL be 'PRS' 'Personal relationship' 2.16.840.1.113883.5.110 RoleClass STATIC. | Conditional | Error | Allowable valuesets of classCode, moodCode, typeCode, statusCode, Null Flavor etc. are from the HL7 CDA/QRDA standards |
| 15326 | CONF-QRDA1-696 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/code | A family history organizer, RelatedSubject / code is missing. | RelatedSubject SHALL contain exactly one RelatedSubject / code. | Conditional | Error | |
| 15327 | CONF-QRDA1-697 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/code | The value for “RelatedSubject / code” SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.19579 FamilyHistoryRelatedSubjectCode DYNAMIC | The value for 'RelatedSubject / code' SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.19579 FamilyHistoryRelatedSubjectCode DYNAMIC. | Conditional | Warning | |
| 15328 | CONF-QRDA1-698 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/subject | A family history organizer, RelatedSubject / subject is missing. | RelatedSubject SHOULD contain exactly one RelatedSubject / subject. | Conditional | Warning | |
| 15329 | CONF-QRDA1-699 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/subject/administrativeGenderCode | A family history organizer, RelatedSubject / subject / administrativeGenderCode is missing. | RelatedSubject / subject SHOULD contain exactly one RelatedSubject / subject / administrativeGenderCode. | Conditional | Warning | |
| 15330 | CONF-QRDA1-700 | clinicalDocument/component/structuredBody/component/section[code/@code='55185-3']/component/section[code/@code='55186-1']/component/section[code/@code='55188-7']/component/section[code/@code='10157-6']/entry/organizer/subject/relatedSubject/subject/birthTime | A family history organizer, RelatedSubject / subject / birthTime is missing. | RelatedSubject / subject SHALL contain exactly one RelatedSubject / subject / birthTime. | Conditional | Error |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |