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  1. QRDA Issue Tracker
  2. QRDA-240

The HL7 QRDA I IG (R2 and R3) require that the affected templates contain a value of 102460003, but also require that the value be from valueSet that doesn't contain the required value, so it is impossible to satisfy both constraints.

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    • Icon: QRDA-I Standard QRDA-I Standard
    • Resolution: Done
    • Icon: Minor Minor
    • None
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      Impossible to create a valid QRDA document with any of the following templates: Procedure Intolerance, Diagnostic Study Intolerance, Intervention Intolerance, Lab Test Intolerance, and Device Intolerance. This is true in the Cypress testing tools for 2015 and 2016 as well as the CMS SEVT tool for 2015.
      Show
      Impossible to create a valid QRDA document with any of the following templates: Procedure Intolerance, Diagnostic Study Intolerance, Intervention Intolerance, Lab Test Intolerance, and Device Intolerance. This is true in the Cypress testing tools for 2015 and 2016 as well as the CMS SEVT tool for 2015.
    • Epic
    • 608-271-9000
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      For the 2016 reporting period, this particular value set validation is not enforced by the CMS receiving systems.
      The 2017 reporting period will be based on the HL7 QRDA-I DSTU R3.1. This errata is fixed in the HL7 QRDA-I DSTU R3.1, please see the disposition of this DSTU comment for details (http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=724). The HL7 QRDA-I DSTU R3.1 is in the process of being published by HL7.
      Show
      For the 2016 reporting period, this particular value set validation is not enforced by the CMS receiving systems. The 2017 reporting period will be based on the HL7 QRDA-I DSTU R3.1. This errata is fixed in the HL7 QRDA-I DSTU R3.1, please see the disposition of this DSTU comment for details ( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=724 ). The HL7 QRDA-I DSTU R3.1 is in the process of being published by HL7.

      102460003 is required by the Procedure Intolerance template, but since it isn't in the valueSet 2.16.840.1.113883.3.88.12.3221.6.2, there is no way to create a valid document including this template.

      Note, this will likely also be the case for the affected templates listed in the Description of this ticket, but I have only been testing our Procedure Intolerance.

      This is related to JIRA ticket QRDA -73 and the HL7 QRDA I R3 DTSU Comment http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=724. It is being logged again, since this prevents valid QRDA documents from being created with these templates for R2 or R3 of the QRDA I IG. This would affect the CMS documents for 2015 and 2016 reporting years, since they are conformant to these HL7 IGs.

      The affected templates (we noticed this for the Procedure Intolerance template, but most of the Intolerance templates are affected) need to be changed to require a value listed in valueSet 2.16.840.1.113883.3.88.12.3221.6.2, or the valueSet needs to include the value 102460003.

            yanheras Yan Heras
            dsundara David Sundaram-Stukel (Inactive)
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              Created:
              Updated:
              Resolved: