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QRDA-I Standard
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Resolution: Delivered
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Minor
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None
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Preventing us from being able to implement the 2015 CQM changes (released in April 2014)
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NTT DATA
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Vivek Gupta
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To list a ‘Not Done’ data element on QRDA1 report, we use negation indicator and reason section. For example, to list ‘Communication – Patient to Provider Not Done’ we use the template/xml structure of ‘Communication – Patient to Provider’ and add negation indicator and reason section.
When we apply this approach for Device order Not Done data element and run QRDA1 through schema validation, it gives an error for usage of negation indicator in that template.
[Xerces] cvc-complex-type.3.2.2: Attribute 'negationInd' is not allowed to appear in element 'supply'.
@see: http://www.w3.org/TR/xmlschema-1/#cvc-complex-type
Following are samples of ‘Device Order’ and ‘Device Order – Not Done’
Device Order
<entry>
<supply classCode="SPLY" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.43" />
<templateId root="2.16.840.1.113883.10.20.24.3.9" />
<id root="de9a8f85-2fcc-43c8-b769-0add46ef173d" />
<text>Device, Order</text>
<statusCode code="new" />
<effectiveTime value="20120102093000" />
<participant typeCode="DEV">
<participantRole classCode="MANU">
<playingDevice classCode="DEV">
<code code="348681001" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT"
displayName="Device, Ordered: Graduated compression stockings"
sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.256" />
</playingDevice>
</participantRole>
</participant>
</supply>
</entry>
Device Order – Not done
<entry>
<supply classCode="SPLY" moodCode="RQO" negationInd="true">
<templateId root="2.16.840.1.113883.10.20.22.4.43" />
<templateId root="2.16.840.1.113883.10.20.24.3.9" />
<id root="08bf8e25-21ae-4a46-9584-bc1ed6dddfff" />
<text>Device, Order</text>
<statusCode code="new" />
<effectiveTime value="20120102093000" />
<participant typeCode="DEV">
<participantRole classCode="MANU">
<playingDevice classCode="DEV">
<code code="348681001" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT"
displayName="Device, Ordered: Graduated compression stockings"
sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.256" />
</playingDevice>
</participantRole>
</participant>
<entryRelationship typeCode="RSON">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.24.3.88" />
<id nullFlavor="NI" />
<code code="410666004" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT" displayName="reason" />
<statusCode code="completed" />
<effectiveTime value="20130410045023" />
<value code="410666004" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT" xsi:type="CD" />
</observation>
</entryRelationship>
</supply>
</entry>
- relates to
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CQM-1606 Quality Data Model, v 4.1.2 Table 6 and Table 7, there are attributes listed that are not listed in the 2015 updated specification population/criteria.
- Closed