P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012

P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012.xlsx

Physician Quality Reporting System (formerly Physician Quality Reporting Initiative)

P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012

OMB: 0938-1059

Document [xlsx]
Download: xlsx | pdf

Overview

Introduction
Measure_Set
Measures
Reporting_Parameters
Patient_Data
Problems
Procedures
Payers
Alerts
Medications
Immunizations
Results
Vital_Signs
Structural_Data
Advance_Directives
Plan_of_Care
Encounters
Social_History
Common_Templates
Medical_Equipment
Family_History


Sheet 1: Introduction

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.


Sheet 2: Measure_Set

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

Sheet 3: Measures

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

Sheet 4: Reporting_Parameters

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

Sheet 5: Patient_Data

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

Sheet 6: Problems

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

Sheet 7: Procedures

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


Sheet 8: Payers

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

Sheet 9: Alerts

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

Sheet 10: Medications

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

Sheet 11: Immunizations

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

Sheet 12: Results

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


Sheet 13: Vital_Signs

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

Sheet 14: Structural_Data

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

Sheet 15: Advance_Directives

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

Sheet 16: Plan_of_Care

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

Sheet 17: Encounters

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

Sheet 18: Social_History

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

Sheet 19: Common_Templates

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

Sheet 20: Medical_Equipment

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

Sheet 21: Family_History

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 Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
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