Hi,

In accordance with the latest HL7 specification CDAR2_IG_QRDA-I_R1_STU5_2017DEC, it is mentioned that the newly introduced negation datatypes (Procedure, Not Performed) for the 2019 reporting Period in QDM v5.3 will be expressed in the same manner in QRDA 1 files as previously i.e., 2018 Reporting Period with no negation mentioned in the datatype (Procedure, Performed). Please find below the supporting statement from the current HL7 specification.

Statement:

Negation Rationale is represented by setting negationInd="true" and stating the reason (rationale) in a contained Reason (V3) template.  

In the present HL7 standard for QRDA Cat 1 it is no where specified or mentioned that to use the new negation datatypes from QDM v5.3. Kindly clarify on this.

Thanks