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  1. QRDA Issue Tracker
  2. QRDA-591

Race is nullFlavor or unknown or patient declined

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    • Icon: QRDA-III Standard QRDA-III Standard
    • Resolution: Done
    • Icon: Moderate Moderate
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      Additional guidance regarding this is stated in the eCQM Logic and Guidance document. Below is excerpt from Version 1.13, which was published on May 5, 2017. In short, "Other Race" should only be used to aggregate patients counts for patients that are multiple race. If Race is unknown, this does not need to be counted toward any of the race category code for QRDA-III purpose. In QRDA-I, unknown or patient declined to specify is represented using nullFlavor.
      *******
      "To report an individual patient with a single race category in QRDA-I, place one of the five (5) OMB race category codes (1002-5, 2028-9, 2054-5, 2076-8, and 2106-3) into raceCode. To report an individual patient with more than one race category, one race is reported in raceCode, and additional races should be placed into extension(s) using sdtc:raceCode. As in accordance with the standard, all the race codes placed here are equivalent in priority. For QRDA-I, Other Race 2131-1 should not be used because missing patient race information should be described using null values (described in the following paragraphs).

      For QRDA-III files, a patient with multiple races should be identified with raceCode category 2131-1 Other Race. This allows patients with multiple races to be expressed in an aggregate document without creating multiple entries for a single patient with multiple races. It should be noted that only QRDA-III files should use the raceCode 2131-1 Other Race to express a raceCode category."
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      Additional guidance regarding this is stated in the eCQM Logic and Guidance document. Below is excerpt from Version 1.13, which was published on May 5, 2017. In short, "Other Race" should only be used to aggregate patients counts for patients that are multiple race. If Race is unknown, this does not need to be counted toward any of the race category code for QRDA-III purpose. In QRDA-I, unknown or patient declined to specify is represented using nullFlavor. ******* "To report an individual patient with a single race category in QRDA-I, place one of the five (5) OMB race category codes (1002-5, 2028-9, 2054-5, 2076-8, and 2106-3) into raceCode. To report an individual patient with more than one race category, one race is reported in raceCode, and additional races should be placed into extension(s) using sdtc:raceCode. As in accordance with the standard, all the race codes placed here are equivalent in priority. For QRDA-I, Other Race 2131-1 should not be used because missing patient race information should be described using null values (described in the following paragraphs). For QRDA-III files, a patient with multiple races should be identified with raceCode category 2131-1 Other Race. This allows patients with multiple races to be expressed in an aggregate document without creating multiple entries for a single patient with multiple races. It should be noted that only QRDA-III files should use the raceCode 2131-1 Other Race to express a raceCode category."

      Hi,

      I would like to if the Race is unknown/patient declined/ Null flavor for a patient should -

      1. In QRDA III -> the above patient should fall in Other Race (2131-1)
      2. In QRDA I -> Parse it as it is.

      Please confirm if the above is the expected behavior as per the EC guide for QRDA III version1 published in july (including for MIPS/CPC+ programs)

            yanheras Yan Heras
            Pooja2013 Pooja Radhakrishna (Inactive)
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