I am receiving errors related to Active Diagnosis values using translation codes in the PQRS Submission Validation Engine and would like guidance on how these values should be constructed in order to be accepted by the PQRS system.

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    • Type: QRDA-I Standard
    • Resolution: Delivered
    • Priority: Minor
    • Component/s: None
    • Inability to successfully submit QRDA 1 files for 2014 PQRS/VBPM/MU.
    • Medical University of South Carolina
    • Itara Barnes
    • Hide
      Please submit the ICD10 code directly using observation/value/code instead of using nullFlavor=”OTH” and translation. A sample snippet:
      <value code="I10" codeSystem="2.16.840.1.113883.6.90"
                                      sdtc:valueSet=" 2.16.840.1.113883.3.464.1003.104.12.1011" xsi:type="CD"/>

      The QRDA-I file “Pioneer ACO (QMAT) Sample QRDA-I.xml” that is contained in the 2014 CMS QRDA I Implementation Guide for EP zip file (downloadable from the eCQM Library site, under the QRDA Information section) also contains a snippet for diagnosis.

      Section 4.2 of the CMS EP QRDA-I Supplementary Implementation Guide for 2014 (04/28/2014) states that there are cases where the value sets specified in the eCQMs contradict the value sets specified in the HL7 QRDA-I standard, and the value sets that are specified in eCQMs take precedence in these cases. In your particular use case, the ICD-10 code is a valid code of the grouping value set that is specified by the eCQM, it should be placed in value/code and not in translation.
      Show
      Please submit the ICD10 code directly using observation/value/code instead of using nullFlavor=”OTH” and translation. A sample snippet: <value code="I10" codeSystem="2.16.840.1.113883.6.90"                                 sdtc:valueSet=" 2.16.840.1.113883.3.464.1003.104.12.1011" xsi:type="CD"/> The QRDA-I file “Pioneer ACO (QMAT) Sample QRDA-I.xml” that is contained in the 2014 CMS QRDA I Implementation Guide for EP zip file (downloadable from the eCQM Library site, under the QRDA Information section) also contains a snippet for diagnosis. Section 4.2 of the CMS EP QRDA-I Supplementary Implementation Guide for 2014 (04/28/2014) states that there are cases where the value sets specified in the eCQMs contradict the value sets specified in the HL7 QRDA-I standard, and the value sets that are specified in eCQMs take precedence in these cases. In your particular use case, the ICD-10 code is a valid code of the grouping value set that is specified by the eCQM, it should be placed in value/code and not in translation.

      I am receiving errors related to Active Diagnosis values using translation codes in the PQRS Submission Validation Engine and would like guidance on how these values should be constructed in order to be accepted by the PQRS system.

      When submitting files generated from our cEHR system, the following errors are generated:
      • Error Code 12008 (SHALL contain exactly one [1…1] value with @xsi: type=”CD” (CONF:12008) )
      • Error Code 9058 (SHALL contain exactly one [1…1] value with @xsi:type=”CD”, where @code SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.11388.3.88..12.3221.7.4 DYNAMIC (CONF:9058)

      The code triggering these errors includes the following:

      <value codeSystem="2.16.840.1.113883.6.96" xsi:type="CD" nullFlavor="OTH" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
      <translation code="I10" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD10CM" displayName="Essential (primary) hypertension" sdtc:valueSet="2.16.840.1.113883.3.464.1003.104.12.1011" xmlns:sdtc="urn:hl7-org:sdtc" />
      </value>

            Assignee:
            Yan Heras
            Reporter:
            Itara Barnes (Inactive)
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              Created:
              Updated:
              Resolved: