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  1. QRDA Issue Tracker
  2. QRDA-241

Context path issues in the the HQR Cat1R3 Schematron rules file do not allow CMS IG constraints and error messages to be triggered and tested.

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    • Resolution: Done
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      The HQR Cat1R3 Schematron is written in such a way that many rules will never trigger. Testers for the CMS HQR eCQM receiving system are unable to complete testing of the CMS CONF error messages. Based on how the Schematron contexts are set, the team was unable to create test files to trigger many CMS conformance rules. This occurs for rules that test for a templateId and/or extension within the context of the same templateId.
      Show
      The HQR Cat1R3 Schematron is written in such a way that many rules will never trigger. Testers for the CMS HQR eCQM receiving system are unable to complete testing of the CMS CONF error messages. Based on how the Schematron contexts are set, the team was unable to create test files to trigger many CMS conformance rules. This occurs for rules that test for a templateId and/or extension within the context of the same templateId.
    • DECC CMS HQR eCQM receiving system ADO
    • Estelle Noone
    • 410-872-7830
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      Fix context path issues in the the HQR Cat1R3 Schematron rules file so that CMS constraints and error messages can be triggered systematically and adequately tested before the CMS HQR eCQM receiving system is ready for operational use for the 2016 reporting year.
      Show
      Fix context path issues in the the HQR Cat1R3 Schematron rules file so that CMS constraints and error messages can be triggered systematically and adequately tested before the CMS HQR eCQM receiving system is ready for operational use for the 2016 reporting year.

      Schematron is written in such a way that many rules will never trigger. This issue became evident when testing the CMS HQR eCQM receiving system with specifically created QRDA Cat 1 R3 files for the purpose of triggering certain CMS CONF error messages. Based on how the Schematron contexts are set, we were unable to create test files to trigger targeted CMS constraints and error messages for rules that test for a templateId and/or extension within the context of the same templateId.

      The list below includes the CMS 2016 IG CONF # Rules that cannot be tested; they are not triggering due to the context path issue we found in our testing. We have also listed a few examples also of HL7 IG rules that are not triggered for the same context issue. This is not an exhaustive list. (The attachment contains this info in more readable format.)

      CMS IG 2016 Rules Not Triggered

      Clinical Document Header rules:
      CMS_0001
      CMS_0002
      CMS_0003
      templateId: 2.16.840.1.113883.10.20.24.1.3 extension='2015-07-01'

      Patient Data Section QDM (V2) - CMS EP & HQR:
      CMS_0036
      CMS_0037
      CMS_0038
      templateId: 2.16.840.1.113883.10.20.24.2.1 extension=2015-07-01’

      Reporting Parameters Section - CMS EP & HQR:
      CMS_0040
      CMS_0041
      CMS_0042
      templateId: 2.16.840.1.113883.10.20.17.2.1 extension=’2015-07-01’

      Reporting Parameters Act - CMS EP & HQR:
      CMS_0044
      CMS_0045
      CMS_0046
      templateId: 2.16.840.1.113883.10.20.17.3.8 extension=’2015-07-01’

      HL7 IG Rules Not Triggered

      ProblemConcernActRule:
      CONF:1098-16772
      CONF:1098-16773
      CONF:1098-32509
      templateId: 2.16.840.1.113883.10.20.22.4.3 extension="2014-06-09"

      Encounter Performed Rule:
      CONF:1140-11861
      CONF:1140-11862
      CONF:1140-26552
      templateId: 2.16.840.1.113883.10.20.24.3.23 extension="2014-12-01"

      Encounter Activity (V2) Rule: required for ME calculations
      CONF:1098-8712
      CONF:1098-26353
      CONF:1098-32546
      templateId: 2.16.840.1.113883.10.20.22.4.49 extension="2014-06-09"

      Patient Characteristic Payer:
      CONF:67-12561
      CONF:67-12562
      templateId: 2.16.840.1.113883.10.20.24.3.55

      Measure Section QDM:
      CONF:67-12803
      CONF:67-12804
      templateId: 2.16.840.1.113883.10.20.24.2.3

      Reporting Parameters Section:
      CONF:23-14611
      CONF:23-14612
      templateId: 2.16.840.1.113883.10.20.17.2.1

        1. JIRA Ticket1_HQR Cat1R3 Schematron Context Issue.docx
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            michael.holck Michael Holck
            enoone Estelle Noone (Inactive)
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              Created:
              Updated:
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