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  1. QRDA Issue Tracker
  2. QRDA-177

CMS32, CMS55, CMS111 - Facility Location Arrival Datetime may be looking to invalid locations

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    • Icon: Implementation Guidance Implementation Guidance
    • Resolution: Delivered
    • Icon: Moderate Moderate
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    • Potential for required data elements to not be found
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      eCQMs such as ED-1 and ED-2 are specified in HQMF, which is different from QRDA. The HQMF standard is not a CDA standard itself, it does have different representations and has its own schema compare to the QRDA-I standard. “roleParticipant” is valid against the eMeasure.xsd, which is different from the CDA_SDTC.xsd that QRDA-I documents are using. When report in QRDA-I, there is a mapping step that needs to be done to map which QRDA-I template needs to be used for a QDM data element specified in an eCQM, map the necessary QDM attributes as well.
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      eCQMs such as ED-1 and ED-2 are specified in HQMF, which is different from QRDA. The HQMF standard is not a CDA standard itself, it does have different representations and has its own schema compare to the QRDA-I standard. “roleParticipant” is valid against the eMeasure.xsd, which is different from the CDA_SDTC.xsd that QRDA-I documents are using. When report in QRDA-I, there is a mapping step that needs to be done to map which QRDA-I template needs to be used for a QDM data element specified in an eCQM, map the necessary QDM attributes as well.

      Within the eCQM xml files form the April 2014 measure specification release, it appears that ED measures follow the path of /.../particpant/roleParticipant/effectiveTime/low/ to find the Facility Location Arrival Datetime. There are two issues:

      1. "roleParticipant" does not seem to be a valid tag name. CONF:13372 requires a "participantRole" tag.

      2. Even if we consider "participantRole", I do not see a CONF code for "effectiveTime" tag within "participantRole". According to DSTU R2, Facility location Arrival datetime should be found under /.../participant/time/low.

      If this is correct, for the 2015 reporting year, does this mean that strict evaluation by the eCQM xml would be incapable of evaluating timing elements from ED-1, ED-2, and ED-3 measures?

            yanheras Yan Heras
            Alex Liu Alex Liu
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