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  1. QRDA Issue Tracker
  2. QRDA-188

Use of the STATIC binding keyword is inconsistent across documentation.

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    • Icon: Implementation Guidance Implementation Guidance
    • Resolution: Done
    • Icon: Minor Minor
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    • Low. Text reported to users for CONF 19230 does not match the CMS QRDA EP & HQR 2015 Implementation Guide.
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      The issue is logged as a DSTU comment to the HL7 QRDA-III R1 standard. http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=740
      This issue could be addressed as part of the effort when the QRDA-III standard is becoming normative.



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      The issue is logged as a DSTU comment to the HL7 QRDA-III R1 standard. http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=740 This issue could be addressed as part of the effort when the QRDA-III standard is becoming normative.

      The use of the STATIC context seems to be inconsistent across documentation.

      In the original base standard document, (CDAR2_QRDAIII_DSTU_R1_2012NOV.pdf pp.47 it is written as the following;

      This code SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19230).

      In the CMS QRDA EP & HQR 2015 Implementation Guide (pp.40) it is written as the following;

      This code SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19230).

      Presumably the STATIC binding is being removed in favor of guidelines for “Coded Simple” (CS).

      Yet, in the LANTANA Rules file, the following rule is stated as follows;

      <sch:assert id="a-67-19230" test="cda:code[@code='55186-1' and @codeSystem='2.16.840.1.113883.6.1']">This code SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19230).</sch:assert>

      Further, in the example XML data file provided by Lantana, that comes with the CMS QRDA EP & HQR 2015 Implementation Guide, it shows the STATIC keyword being used at the data level.

      <!-- SHALL contain exactly one [1..1] code (CONF:12798) that SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19230). -->
      <code code="55186-1" displayName="measure section" codeSystem="2.16.840.1.113883.6.1"/>

      Use of the STATIC binding keyword is inconsistent. Please update either the rules file or the documentation to show the intended binding.

      See also Attached Description (JIRA Ticket Description.docx) (A little easier to read.)

        1. JIRA Ticket Description.docx
          15 kB
          John Warner

            cmilletonc Chris Millet ONC (Inactive)
            jwarner John Warner (Inactive)
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              Created:
              Updated:
              Resolved: