Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

Interns and Residents Information System (IRIS) XML General
Instructions
Contents
1

General Instructions......................................................................................................................................................................................................................... 1

2

IRIS XML Fields: Definitions and Instructions ................................................................................................................................................................................... 2

1 General Instructions
1. The IRIS XML file format is replacing the legacy IRIS DBF file format defined by the IRISv3 and IRISEDv3 applications. The new format will capture a few
additional fields but otherwise generally captures the same fields as the legacy DBF format and maintains the same core structure built around resident
records and assignment records.
a. As part of this change, the IRISv3 and IRISEDv3 applications will also be retired. For the new XML format CMS will publicly release all the
technical specifications and documentation needed to create an IRIS file, but will not release a replacement for the IRISv3/IRISEDv3 applications
for creating IRIS files. Instead, hospitals are encouraged to use IRIS vendor software in order to prepare their IRIS submissions.
b. The process by which IRIS files are submitted will stay the same. Hospitals will continue to submit their IRIS submission to their MAC alongside
their cost report.
2. A hospital cannot claim time spent by residents training at another freestanding hospital.
3. In a normal twelve-month cost reporting period, no individual may be counted as more than 1.0 FTE.
4. The list of errors that will cause an IRIS file to be rejected is available in a separate file in the accompanying documentation.
5. Foreign Medical Graduates (FMGs) will be referred to in this document as International Medical Graduates (IMGs).
6. Filenames: IRIS XML files should follow the following naming convention: “######_YYYY-MM-DD.xml”, where ###### contains the hospital id (with no
hyphen but including any leading zeros) and YYYY-MM-DD the hospital’s FYE in that format (again, with all parts including leading zeros).
a. Freeform text is allowed after the FYE, in order to indicate revisions or any other such annotations.
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7. The XML format does not include an equivalent of the DBF format’s master file (resident-level) Residency Years Completed (RESYEAR) field. This field was
removed because the same value is tracked in a more granular and useful way at the assignment level. This is the only field from the DBF format that
was removed, however new fields have been added and existing field usage and/or definitions have been changed and clarified, which may impact how
you were using the DBF format fields in the past.

2 IRIS XML Fields: Definitions and Instructions
The following table includes the field definitions and instructions for all fields in an IRIS submission. Regardless of the software used to prepare the IRIS
submission, IRIS submissions should be filled out according to these instructions. Note that these fields may be labeled differently in IRIS vendor software,
but all IRIS vendor software should ultimately export a XML file that includes all the fields below.
Field

Record

XML Field(s)

Instructions

Social Security
Number

Resident

SocialSecurityNumber

Enter the Intern/Resident’s (IR) Social Security Number (SSN) or Canadian Social Insurance
Number (SIN).
The first character must contain either "U" (US) or "C" (Canada). This character is used for
dual tracking of nine digit United States SSNs and nine digit Canadian Social Insurance
Numbers as identification numbers.
If an IR has both a US SSN and a Canadian SIN, enter the IR’s US SSN.

Intern/Resident
Name

Resident

firstName
middleName
lastName

Enter the IR first name, full middle name, and last name. Do not use nicknames or
abbreviations such as Bob in lieu of Robert or Chuck or Charlie in lieu of Charles. Do not use
suffixes such as "Jr." or "II".
The Middle Name field shall be left blank if the IR has no middle name.
All three name fields are each limited to 35 characters. If any individual first, middle, or last
name value exceeds 35 characters, use only the first 35 characters.
Note: The Middle Name field shall be populated with each IR’s FULL middle name. Previously
IRISv3 only allowed middle initials to be populated.

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Field

Record

XML Field(s)

Instructions

Employer’s
Name

Resident

employer

The “Doing Business As” name of the entity that is currently paying the intern/resident's (IR)
salary, even if that entity is different from the hospital submitting the IRIS file.

Initial Residency
Program Type
Code

Resident

initialResidencyPeriodC
ode

This field is used to track the residency type code that determines the number of years a
hospital can receive un-weighted GME FTEs for the current resident. The field should generally
be populated with the residency type code for the program the IR was participating in on the
first day of the resident’s first rotation after graduating from medical school, even if that
rotation did not occur within the hospital submitting the IRIS file or within the hospital’s
current cost reporting period. Note that the residency code remains the same if a resident
continues training in an advanced residency program or switches into a different specialty
program, regardless of whether the first residency program entered into was completed.
The 4 digit Residency Type Code for the medical specialty program are grouped as follows:
• 1050-2960 Allopathic specialties (MD)
• 3050-6650 Osteopathic specialties (DO)
• 7050-7350 Podiatric specialties
• 8050-8850 Dental specialties (DDS)9050-9100 Other specialties (obsolete)
•
The full list of residency type codes is available in the accompanying documentation.
Once the initial residency period (IRP) has been established this value shall remain constant
across all IRIS submissions in a resident’s career, aside from a few exceptions.
Exceptions include:
• When the initial residency period’s residency type was 2525 Transitional Year, 6400
Traditional Rotating, 2550 Preliminary Medicine, or 2600 Preliminary Surgery, enter
the applicable code in the “Non-IRP Year One Residency Code” field below.
However, for a resident who, prior to beginning the first year of residency training, matched in
a specialty program (simultaneous match) for which training would begin at the conclusion of
the first year of training, report the code of the subsequent specialty training year. See 42 CFR
413.79(a)(10). If the provider does not know the IRP that a resident in a transitional
year/clinical year would be in the subsequent year, the provider should enter the
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Field

Record

XML Field(s)

Instructions
transitional/advanced matched non-IRP code in the IRP field for the first year and replace it
with the actual IRP in subsequent years once it is known.
If an International Medical Graduate (IMG) completed part of, or all, the training in the
first/initial residency program after graduating from a medical school in a foreign country,
enter in this field the code for that initial residency program if the American Board of Medical
Specialties (ABMS) deemed this training to meet the standards for board
eligibility/certification. For example, if the first program in which the IMG resident trained
after graduating from a medical school was an Internal Medicine (IM) program but the resident
completed the first year of training in that program in a foreign country, the resident’s initial
residency period will be based on this program if the ABMS deems that this training is
acceptable for board eligibility/certification. In this situation, the year of training in the
foreign country also counts towards the initial residency period limit for IM. (See FR Vol. 54
dated September 29, 1989, Page 40294.) However, if the ABMS does not deem this foreign
country’s IM training to be acceptable for board eligibility/certification in the U.S., enter in this
field the code for the first residency program this resident trains in which is deemed acceptable
by the ABMS regardless whether that initial approved training was completed in the U.S. or a
foreign country.

Non-IRP Year
One Residency
Code

Resident

nonIRPYearOneResiden
cyCode
(Code and Type pair)

For IRs that trained in a preliminary/transitional year or a simultaneously/advanced matched
specialty program for which training would begin at the conclusion of the first year of training,
enter the code for the residency type they were enrolled in during their first year as well as a
‘type’ attribute indicating whether it was a preliminary/transitional year or a
simultaneous/advance match.
Example 1: If an IR simultaneously matched into a 1400 Internal Medicine program for the
generalized clinical year, and a subsequent 1100 Anesthesiology program, enter report code
1100 in the Initial Residency Type code, and report code 1400 in the Non-IRP Year One
Residency Code field with type “Simultaneous Match”.
Example 2: If during the match process, the resident did not match for a first year position in a
1400 Internal Medicine program, but did match into a second year position at that time in a
1100 Anesthesiology program, then report code 1100 in the “Initial Residency Code” field.
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Field

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Refer to 42 CFR 413.79(a)(10); Federal Register Vol. 69, No. 154 (Aug 11, 2004) pg. 4916949173, and Federal Register Vol 70, No. 155, (Aug 12, 2005) pg. 47449-47452.
For IRs that did not train in a preliminary/transitional year or a simultaneous/Advance match,
leave this field blank.
Medical School
Code

Resident

medicalSchoolCode

Enter the five digit code for the medical school from which the intern/resident (IR) graduated.
Enter "99998" for foreign dental school or "99999" for foreign medical school if the IR did not
graduate from an allopathic, osteopathic, dental, or podiatry school accredited or approved as
having met the standards necessary for accreditation by one of the following organizations: the
Liaison Committee on Medical Education of the American Medical Assoc., American
Osteopathic Assoc., Commission on Dental Accreditation, and Council on Podiatric Medical
Education. Medical schools are grouped as follows:
00102-06801 Allopathic or Osteopathic Schools
30000-30800 Podiatric Schools
81250-84052 Dental Schools
99998 Foreign Dental Schools
99999 Foreign Medical Schools
The full list of medical school codes is available in the accompanying Medical Schools Code
Table.

Medical School
Graduation
Date

Resident

MedicalSchoolGraduati
onDate

Report in this field the date the intern/resident graduated from medical school. If the
graduation month is known and the specific day of the month is unknown, enter the first day
of the month.

International
Medical
Graduate
Certification
Date

Resident

InternationalGradCertD
ate

Enter in this field the ECFMG Certification date for graduates of foreign (international) Medical
schools. See 42 CFR 413.80. Ensure that this date is the date of the last and final exam that the
International Medical Graduate (IMG) passed.

The information in this field should only be populated for Non-Dental IMGs (where medical
school code is "99999").
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Field

Record

XML Field(s)

Instructions

Assignment
(Rotation) Time
Period

Assignment

beginDate
endDate

Enter in this field “the start and end dates” of each rotational assignment during which the
IR was assigned to and trained at the hospital and any of its hospital based providers. Also,
Include any time the IR was assigned to and trained at non-provider settings which the
hospital is allowed to count in its total number of FTE residents.
(For GME refer to 42 CFR 413.75(d)(3) and 413.78(b); for IME refer to 42 CFR
412.105(f)(2)(ii) and 412.105(1)(ii); for IPF-PPS Teaching Adjustment refer to 42 CFR
412.424(d)(1)(iii); and for IRF-PPS Teaching Hospital Adjustment refer to 42 CFR
412.624(e)(4) and 70 FR dated August 15, 2005, Pages 47929-47930.)
Use the rotation schedules (or similar documentation) for each GME program to identify
the start and end dates of each rotational assignment period. (There is only one rotation
schedule which is generally prepared by the Program Director, for each program year (PGY)
of each GME program regardless of how many hospitals, and non-provider settings the
residents in the program year rotate to during the GME academic year. (See 54 FR dated
September 29, 1989, Page 40291 (right column) and 71 FR dated August 18, 2006, Page
48077.) If the hospital’s cost reporting period overlaps the GME academic year (i.e., July 1
through June 30), use the two rotation schedules which cover the assignments during the
cost reporting period.
In order to avoid rotational assignment time periods reported in IRIS which overlap across
hospitals, entire days spent by IRs assigned to and training at other hospitals or any of their
hospital based providers, including any entire days spent by IRs assigned to and training at
non-provider settings which the hospital is not allowed to count in its total number of FTE
residents, should be excluded from the rotational assignment time period entered. Only
the actual days spent by IRs assigned to and training at the hospital or any of its hospital
based providers, including any actual days spent by IRs assigned to and training at non‐
provider setting which the hospital is allowed to count in its total number of FTE residents
for GME purposes, should be included in the rotational assignment time period entered.
Example #1: If a resident in an allowable rotation is only assigned to and training at a
hospital for the time period of 1/1/15 – 1/15/15, the hospital should not report the
rotational assignment time period for the resident as 1/1/15 – 1/31/15 at 50% IME &
DGME Percentages, but instead report the rotational assignment time period for the
resident as 1/1/15 – 1/15/15 at 100% IME & DGME Percentages, in order to eliminate
overlapping rotational assignment time periods with other hospitals reporting IRIS data for
the resident.
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Field

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XML Field(s)

Instructions
Example #2: If a resident in a fully reimbursable rotation is primarily assigned to and training
at hospital A for the block rotation 1/1/15 - 1/31/15, but spending 4 hours per week on
Wednesday mornings assigned to and training at hospital B during the same block rotation
1/1/15 – 1/31/15. The normal total hour for a work week is dependent on the number of hours
expected for a specific residency program.
Option A: Complete Percentage Base where hospital A is reporting the rotational assignment
time period for the resident as 1/1/15 - 1/31/15 at 94% (232 out of 248 hours assuming 8
hours a day for 31 days) IME & DGME Percentages and hospital B is reporting the rotational
assignment time period for the resident as 1/1/15-1/31/15 at 6% (16 out of 248 hours) IME &
DGME Percentages, not exceeding 100% and utilizing the same start and end dates for the
rotational assignment time period; or
Option B: Daily Percentage Base where hospital A is reporting the rotational assignment time
periods and IME & DGME Percentages for the resident as 1/1/15 - 1/6/15 at 100%, 1/7/15 at
50%, 1/8/15 - 1/13/15 at 100%, 1/14/15 at 50%, 1/15/15-1/20/15 at 100%, 1/21/15 at 50%,
1/22/15-1/27/15 at 100%, 1/28/15 at 50%, and 1/29/15-1/31/15 at 100%; and hospital B is
reporting the rotational assignment time periods and IME & DGME Percentages for the
resident as 1/7/15 at 50%, 1/14/15 at 50%, 1/21/15 at 50%, and 1/28/15 at 50%, with
agreement on the days and no day or period of time exceeding 100%.
Single day rotational assignment time periods are allowed and there is no restriction on the
number of individual rotational assignment time periods that may be reported for a single IR.
All the start and end dates of the rotational assignment must be within the cost reporting
period for which the IRIS is filed. That is, if an assignment/rotation period per the rotation
schedule overlaps the cost reporting period, report on the current IRIS only those days that fall
within the current cost reporting period. Report the days which fall outside the current cost
reporting period in the IRIS for the previous or subsequent cost reporting period.
Example #1: If the rotation schedule shows a 9/1/16 through 10/31/16 assignment period for
a resident, on the IRIS for cost reporting period 10/1/16 – 9/30/17, report the assignment as
“10/1/16 –10/31/16”. The beginning of portion of this rotation (i.e., 9/1/16 – 9/30/16) should
have been reported on the IRIS for the previous cost reporting period.
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Field

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Instructions
Example #2: If the rotation schedule shows a 7/1/17 through 10/31/17 assignment period for
a resident, on the IRIS for cost reporting period 10/1/16 – 9/30/17, report the assignment as
“7/1/17 – 9/30/17”. Report the remainder of this rotation period (i.e., 10/1/17 – 10/31/17)
when completing the IRIS for the subsequent cost reporting period.

Full Time/Part
Time
Percentage

Assignment

TimePercentage

Very Limited Usage - This field is generally for “Slot Sharing” or other Accreditation Council for
Graduate Medical Education (ACGME) approved part-time residents. Enter "100" percent in
this field if the intern/resident (IR) worked full time during the assignment period, even in
cases where the resident’s time was split between multiple hospitals. Normally this value stays
constant throughout an academic year.
If the IR worked part-time during this period, enter the IR's part time percentage. This
percentage is based on the proportion of total time worked by the IR compared to the total
time necessary to fill a full-time a residency slot, (See 42 CFR 413.78(b) for direct DGME and
412.105(f)(1)(iii) for IME.) Information documenting the IR's percentage of less than full time
must be available in either the resident’s employment contract or a letter from the accrediting
organization such as the ACGME.
In cases where the hospital can only claim part of an IR’s time due to the IR splitting their
time between multiple hospitals this field shall be kept as 100 percent. The percentage of
the IR’s time that is being claimed shall instead be reported as part of the IME Percentage
and GME Percentage fields.
Percentages may be entered with fractional amounts. For example, “33.33%”.

IME Percentage

Assignment

IMEPercentage

Enter the percentage of the IR’s rotational assignment time period the hospital is allowed to
count in its total number of FTE residents for IME purposes.
Refer to the regulations at 42 CFR 412.105(f)(1)(ii).
If the hospital follows the instructions for completing the “Assignment (Rotation) Time Period”
field, the percentage for the assignment period should generally be “100”. However, we note
that for IME purposes the hospital must not include the time that the resident spends in: (1)
the IPF and IRF sub-provider units located within the hospital (see 42 CFR 412.105(f)(1)(ii)(A)
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Field

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Instructions
and (iii)(A)); and (2) research activities at the hospital (see 42 CFR 412.105(f)(1)(iii)(B).
Therefore, if any time associated with training in those sub-provider units and in research was
included in a single-day or multiple-day rotation/assignment period reported in the
“Assignment (Rotation) Time Period” field, exclude this time (e.g., day or portion of a day)
when computing the percentage for the “IME Percentage” field for this rotation/assignment
period.
Furthermore, if the hospital cannot report a specific assignment/rotation period which
includes only the actual time the IR is training in the hospital and non-provider settings the
hospital is allowed to count for IME in the “Assignment(Rotation) Time Period” field, and,
therefore, an assignment/rotation period contains both, the time the hospital is allowed to
count as well as time the hospital is not allowed to count, enter in this field the percentage of
the allowable time to the total time that resident trains during this rotation period. For
example, if Hospital A reported an assignment/rotation period “1-1-17 - 1-14-17” in the
“Assignment (Rotation) Time Period” field but during this period the resident trained for half of
each workday in Hospital A and half of each workday in Hospital B, each hospital shall report
the IME percentage for this assignment/rotation as 50%.

For assignments where Full Time/Part Time Percentage (TIMEPERC) is not reported at
100%, the TIMEPERC value will be multiplied by the IME Percentage in order to establish
the resident’s IME Utilization when calculating FTEs. If a resident is sharing a slot and
working half-time (TIMEPERC=50%) but the resident’s work time was fully allowable for
IME, then IME Percentage shall be set to 100%.
IME percentages may be entered with fractional amounts. For example, “33.33%”.

IRF PPS (Rehab)
Teaching
Hospital
Payment
Percentage

Assignment

irfDpuPercentage

Enter the percentage of the IR’s assignment/rotation time period that the freestanding IRF-PPS
hospital or IRF-PPS unit of an Acute hospital or Critical Access Hospital (CAH) allowed to count
in its total number of FTE residents for the “Teaching Hospital Adjustment”. (See 42 CFR
412.624(e)(4) and 70 FR dated August 15, 2005, Pages 47929-47930.) The IR FTEs for the IRFPage 9 of 13

Field

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XML Field(s)

Instructions
PPS Teaching Hospital Adjustment are reported on Form CMS 2552-10, W/S E-3 Part III, sum of
Lines 7 and 8.
For a freestanding IRF-PPS hospital, the percentage in this field would generally be 100%
because the “Assignment (Rotation) Time Period” is supposed to show the actual dates the
residents are training at the IRF-PPS hospital.

Note that the IPPS IME FTEs should not overlap with the time that is claimed for the IRF
subunit. For any one assignment, the sum total of the IME percentage for the IRF subunit, and
the IPPS provider must not exceed 100%.
IPF (Psych)
Teaching
Adjustment
Percentage

Assignment

ipfDpuPercentage

Enter the percentage of the IR’s rotational assignment time period the freestanding IPF-PPS
hospital or IPF-PPS unit of an Acute hospital or CAH is allowed to count in its total number of
FTE residents for the “Teaching Adjustment”. (See hospital 42 CFR 412.424(d)(1)(iii)(A) and
412.402.) The IR FTEs for the IPF-PPS Teaching Hospital Adjustment are reported on Form CMS
2552-10, W/S E-3 Part II, sum of Lines 6 and 7.

For a freestanding IPF-PPS hospital, the percentage in this field would generally be 100%
because the “Assignment (Rotation) Time Period” is supposed to show the actual dates the
residents are training at the IPF-PPS hospital.
Note that the IPPS IME FTEs should not overlap with the time that is claimed for the IPF
subunit. For any one assignment, the sum total of its IME percentage for the IPF subunit, and
the acute hospital must not exceed 100%.
DGME
Percentage

Assignment

gmePercentage

Enter the percentage of the IR’s time reported in the “Assignment (Rotation) Time Period” field
that the IPPS hospital, freestanding IRF-PPS hospital, and freestanding IPF-PPS hospital,
respectively, is allowed to count in its total number of FTE residents for DGME purposes.
(For IPPS hospitals refer to 42 CFR 413.78; for IRF-PPS hospitals refer to 42 CFR 412.622(b)(1),
and for IPF-PPS hospitals refer to 42 CFR 412.422(b)(1).

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Field

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XML Field(s)

Instructions
If the hospital follows the instructions for completing the “Assignment (Rotation) Time Period”
field, the percentage for the assignment period should generally be 100%. If the hospital
cannot report a specific assignment/rotation period which includes only the actual dates/time
the IR is training in the hospital and non-provider settings the hospital is allowed to count for
DGME in the “Assignment(Rotation) Time Period” field, and the assignment/rotation period
contains both, the time the hospital is allowed to count as well as time the hospital is not
allowed to count, enter in this field the percentage of the allowable time to the total time that
the resident trains during this rotation period. For example, if Hospital A reported an
assignment/rotation period “1-1-17 - 1-15-17” in the “Assignment (Rotation) Time Period” field
but during this period the resident trained for half of each workday in Hospital A and half of
each workday in Hospital B, each hospital shall report the DGME percentage for this
assignment/rotation as 50%.
A hospital may not report more than 100%, in the aggregate for any IR’s rotational assignment
time period. DGME percentages may be entered with fractional amounts. For example,
“33.33%”

Residency Years
Completed

Assignment

residencyYearsComplet
ed

Enter in this field the total number of program years the resident has COMPLETED in ALL types
of approved residency programs as of the first day of the assignment/rotation time period.
For example, if the resident completed two years of the Internal Medicine program and two
years of the Psychiatry program before the beginning of the assignment/rotation time period
which is being reported, enter “4” years even though the resident is in PGY 1 of a Cardiology
program at the start of the assignment/rotation time period.
For International Medical Graduates (IMGs), this shall include years completed outside of the
U.S. if the ABMS deemed this training to meet the standards for board eligibility/certification.
NOTE: Include in this field the year that a resident trained in preliminary/transitional year
program or a clinical base year program under simultaneous/advanced match.

Assignment
Residency Type
Code

Assignment

residencyCode

For each assignment/rotation period, enter the four (4) digit Residency Type Code for the
specialty program in which the intern/resident (IR) seeking board certification is training. If
the resident changed specialty programs during the cost reporting period, this change must be
reflected starting with the assignment/rotation period during which the change occurred. We
also note that the residency program is not synonymous with the cost center to which the
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Field

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XML Field(s)

Instructions
resident rotates. For example, if a resident in the Internal Medicine program rotates to the
Acute hospital’s psychiatric sub-provider unit, the residency code for that assignment is
reported as Internal Medicine (1400) and not psychiatry (2200).
The 4 digit Residency Type Code for the medical specialty program are grouped as follows:
• 1050-2960 Allopathic specialties (MD)
• 3050-6650 Osteopathic specialties (DO)
• 7050-7350 Podiatric specialties
• 8050-8850 Dental specialties (DDS)
• 9050-9100 Other specialties (obsolete)
The full list of residency type codes is available in the accompanying residency type code table.

Non-Provider
Site Percentage

Assignment

nonProviderSitePercen
tage

Enter the percentage of the IR’s assignment/rotation period time claimed for DGME that was
spent in allowable non-provider settings. The related FTEs are reported on W/S S-2, Part I,
Lines 66 and 67. Refer to 42 CFR 413.78(g)(5).
Enter the percentage of the “percentage reported in the DGME percentage field” that the
resident trained in non-provider settings that the hospital is allowed to count for DGME
purposes.
Example #1: If the hospital reported 50% in the “DGME Percentage” field for
assignment/rotation period of 1/1/17 – 1/14/17, enter in this field 100% if the resident spent
all of the time that is being counted for DGME in allowable non-hospital settings. (50% x 100%
= 50%.) Thus the hospital will count 7 days to compute both the DGME and Non-Hospital Site
FTEs
Example #2: If the hospital reported 100% in the “DGME Percentage” field for
assignment/rotation period of 2/1/17 – 2/14/17, enter in this field 50% percent if the resident
spent half (i.e., 50%) of the time that is being counted for DGME in allowable non-provider
settings. (100% x 50% = 50%.) Thus, the hospital will count 14 days to compute the DGME
FTEs and 7 days to compute the Non-provider setting FTEs.
If none of the resident’s rotations during the cost reporting period were spent in non-provider
settings which the hospital is allowed to count for DGME purposes, this field may be populated
as zero or left blank.
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Instructions

New Program

Assignment

isNewProgramFte
(True/False)

Respond either “True” or “False” to indicate whether the resident is in the “initial years of a
new residency program which meet the exception to the rolling average rules”. (Refer to 42
CFR 413.79(d)(5)(i) and (ii), and 42 CFR 413.79(e).

Displaced
Resident

Assignment

isDisplacedResidentFte
(True/False)

Respond either “True” or “False” to indicate whether the IR is a displaced resident for whom
the hospital may receive a temporary cap adjustment. (See 42 CFR 413.79(h)(2)(ii) and
(3)(i)(B).)
The receiving hospital has to submit a request to the contractor within 60 days of the start of
the displaced residents’ training in order to be able to claim the resident as displaced. Mark
this field “True” only if the resident is identified in this request.

Creation
Software Name

Submission

creationSoftwareName

Simple text field for recording the name of the software or vendor used to create the IRIS
submission. Vendor software will generally populate this automatically. If the IRIS submission
was created using a hospital’s in-house software, simply specify the hospital ID in this field
along with the software’s name if it has one.
This is meant to help CMS debug issues with specific files by identifying their source.

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