We are validating QRDA-I and QRDA-III files with teh SEVT tool at QualityNet, and we are receiving errors when trying to submit files that use nullFlavor="OTH" for the value element.
Below is an example of what we are sending for the QRDA-III.
<value code="OTH" xsi:type="CD">
<translation code="D" codeSystem="2.16.840.1.113883.3.249.12" displayName="Other"/>
</value>
We get an error:
This value SHALL contain exactly one [1..1] @nullFlavor="OTH" (CONF:711229).
The format we are sending the data in appears to be exactly what is
specified in Figure 19 of the QRDA-III_CMS_EP_2014_IG.
For the QRDA-I, we have been receiving this error for the measure CMS75, and possibly for others as well. Wehn sending the active diagnosis, we have an ICD10 code to send, but since the coded value is required to be SNOMED, we send nullFlavor="OTH for the main value, and send the data as a translation. This is an exampel of what we send:
<value code="11838838" codeSystem="2.16.840.1.113883.6.96" displayName="Arrested dental caries (disorder)" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.464.1003.125.12.1004" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<translation code="K02.3" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD10CM" displayName="Arrested dental caries" sdtc:valueSet="2.16.840.1.113883.3.464.1003.125.12.1004"/>
This works when validating data against the latest version of Cypress, but the SEVT tool throws the following 2 errors.
- SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:12008).
and
*SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:9058).
- is cloned by
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QRDA-217 CLONE - SEVT errors for values with nullFlavor="OTH" and a translation
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- Resolved
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