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Type:
None
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Resolution: Answered
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Priority:
Moderate
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Component/s: None
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None
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Thank you for your questions concerning CMS1056v1, CMS1074v1, and CMS1206v1. We will consider these recommendations in the upcoming Annual Update.
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CMS1074v1, CMS1206v1
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CMS1056v1
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The codes used to indicate the type of CT Scan (e.g., 'ABDOPEL LD', 'CHEST RT') cannot be reported in QRDA I files.
CDA R2 which underpins QRDA has the following restriction for coded values
CS is represented by both Element and Attribute forms. In the Element form, the type is represented by an XML element whose name is determined by the context in which it is used. The code value is represented by an XML attribute code, whose value, if present, must be a valid xs:token with no internal whitespace.
As a result, when validating a QRDA file with a code like ABDOPEL LD, an XML Schema error will be returned.
<entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <!-- Conforms to C-CDA R2 Result Observation (V2) --> <templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.4.2"/> <!-- Conforms Result (V4) --> <templateId extension="2019-12-01" root="2.16.840.1.113883.10.20.24.3.87"/> <id extension="190c22d0-e830-013b-027f-629b7678c4e7" root="1.3.6.1.4.1.115"/> <code code="96914-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <statusCode code="completed"/> <effectiveTime value="20221116080000"/> <value code="ABDOPEL LD" codeSystem="Alara" codeSystemName="Unknown" xsi:type="CD"/> </observation> </entryRelationship>
"296:0: ERROR: Element '{urn:hl7-org:v3}value', attribute 'code': [facet 'pattern'] The value 'ABDOPEL LD' is not accepted by the pattern '[^\s]+'."
This impacts the codes used in this logic
CT Scan Qualifies(IP "Diagnostic Study, Performed") "Qualifies"(IP, 'ABDOPEL LD', 64, 598) or "Qualifies"(IP, 'ABDOPEL RT', 29, 644) or "Qualifies"(IP, 'ABDOPEL HD', 29, 1260) or "Qualifies"(IP, 'CARDIAC LD', 55, 93) or "Qualifies"(IP, 'CARDIAC RT', 32, 576) or "Qualifies"(IP, 'CHEST LD', 55, 377) or "Qualifies"(IP, 'CHEST RT', 49, 377) or "Qualifies"(IP, 'CHEST-CARDIAC HD', 49, 1282) or "Qualifies"(IP, 'HEAD LD', 115, 582) or "Qualifies"(IP, 'HEAD RT', 115, 1025) or "Qualifies"(IP, 'HEAD HD', 115, 1832) or "Qualifies"(IP, 'EXTREMITIES', 73, 320) or "Qualifies"(IP, 'NECK-CSPINE', 25, 1260) or "Qualifies"(IP, 'TSPINE-LSPINE', 25, 1260) or "Qualifies"(IP, 'CAP', 29, 1637) or "Qualifies"(IP, 'TLSPINE', 25, 2520) or "Qualifies"(IP, 'HEADNECK RT', 25, 2285) or "Qualifies"(IP, 'HEADNECK HD', 25, 3092)