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pdfRelease notes for Data Submission Specifications for Utilizing HL7
Quality Reporting Document Architecture Based on HL7 CDA Release
2.0, version 4.1
April 2012
Guidelines for Using Release Notes: Release 2.0, version 4.1 provides modifications to the Data
Submission Specifications for Utilizing HL7 Quality Reporting Document Architecture Based on HL7 CDA,
the Header Errors and Edits and the Body Errors and Edits. The Release Notes are provided as a
reference tool and are not intended to be used to program abstraction tools.
Changes to Technical Specifications Document “Data Submission Specifications
Utilizing HL7 QRDA Implementation Guide Based on HL7 CDA Release 2.0
version 4.1”
Global Edits:
Added references to International Classification of Diseases Tenth Revision, Clinical Modifications (ICD10 (CM))
Updated the following figures:
Figure 9 was revised to update the example
Figure 14 was revised to update the example
Figure 17 was revised to update the example
Figure 19 was revised to update the example
Figure 38 was revised to update the example
Added the following sections:
(No changes)
1.1 Purpose
Added reference to International Classification of Diseases, Tenth Edition, Clinical Modifications (ICD-10CM)
1.4.1 Logical Observation Identifier Names and Codes (LOINC®)
Updated contact information for LOINC database.
1.4.2 SNOMED Clinical Terms (SNOMED-CT®)
Updated references to SNOMED's trademark ownership from SNOMED International to IHTSDO.
Updated the approximate number of concepts contained in SNOMED CT.
Updated SNOMED contact information.
Page 1 of 5
Release notes for Data Submission Specifications for Utilizing HL7
Quality Reporting Document Architecture Based on HL7 CDA Release
2.0, version 4.1
April 2012
1.4.3 Current Procedural Terminology, Fourth Edition (CPT4®)
Updated copyright information for CPT4.
1.4.4 International Classification of Diseases
Updated section to make specific reference to the International Classification of Diseases, Ninth Revision (ICD9) and Tenth Revision (ICD-10).
Updated contact site for questions regarding ICD-9 and ICD-10.
2.1.2.1 recordTarget
CONF-QRDA1-25: ethnicGroupCode element changed from SHALL to SHOULD. No longer mandatory.
CONF-QRDA1-27: raceCode element changed from SHALL to SHOULD. No longer mandatory.
CONF-QRDA1-41.1: providerOrganization/telecom element changed from SHALL to SHOULD. No longer
mandatory. Also updated text to specify inclusion of email address in this location. (April 2012, version 4.1)
CONF-QRDA1-41.2: wholeOrganization/telecom element changed from SHALL to SHOULD. No longer mandatory.
Also updated text to specify inclusion of email address in this location. (April 2012, version 4.1)
2.2 CMS EHR QRDA Report Body Constraints
Updated reference to figure 16. (April 2012, version 4.1)
3.1.4.2.1.2 Policy Activity
CONF-QRDA1-216:
Removed reference to Social Security Number.
(April 2012, version 4.1) - Updated statement on covered party in a policy participantRole/id from SHOULD to
SHALL in order to require a HIC number. Updated to state: “A covered party in a policy activity SHALL contain one
or more participant / participantRole / id, to represent the patient’s member or subscriber identifier with respect
to the payer.”
References
Added link to ICD-10 Implementation Guide
Page 2 of 5
Release notes for Data Submission Specifications for Utilizing HL7
Quality Reporting Document Architecture Based on HL7 CDA Release
2.0, version 4.1
April 2012
Changes to the Header and Body Errors and Edits Documents
Document
Name
Tab
Number
Description of Change
Updated the edit to read:
Version
Header Errors
and Edits
Participants_Reco
rd_Target
10104
4.0
Header Errors
and Edits
Participants_Reco
rd_Target
10105
Header Errors
and Edits
Participants_Reco
rd_Target
10107
Header Errors
and Edits
Participants_Reco
rd_Target
10109
Updated edit: Changed Error to Warning.
4.0
Header Errors
and Edits
Participants_Reco
rd_Target
10115
Updated edit: Changed Error to Warning.
4.0
Header Errors
and Edits
Participants_Reco
rd_Target
10137
Updated edit to read:
4.1
Header Errors
and Edits
Participants_Reco
rd_Target
10138
Header Errors
and Edits
Relationships_Do
cumentation_of
11023
The patient's legal 'name' element SHALL be
submitted at least once.
Updated the edit to read:
4.0
The patient's legal 'given' (first name) element
SHALL be submitted at least once.
Updated the edit to read:
4.0
The patient's legal 'family' (last name) element
SHALL be submitted at least once.
The report SHOULD contain exactly one
recordTarget/patientRole/providerOrganization/
telecom. Changed to Warning.
Updated edit to read:
4.1
The report SHOULD contain exactly one
recordTarget/patientRole/providerOrganization/
asOrganizationPartOf/wholeOrganization/teleco
m. Changed to Warning.
Updated the edit to read:
If the serviceEvent performer's assignedEntity
'streetAddressLine' element is present, it SHALL
be submitted exactly once.
Page 3 of 5
4.0
Release notes for Data Submission Specifications for Utilizing HL7
Quality Reporting Document Architecture Based on HL7 CDA Release
2.0, version 4.1
April 2012
Document
Name
Tab
Number
Header Errors
and Edits
Relationships_Do
cumenation_of
11025
Header Errors
and Edits
Relationships_Do
cumentation_of
11027
Header Errors
and Edits
Relationships_Do
cumentation_of
11029
Header Errors
and Edits
Relationships_Do
cumentation_of
11031
Body Errors
and Edits
Payers
13440
Body Errors
and Edits
Payers
Body Errors
Payers
Description of Change
Updated the edit to read:
Version
4.0
If the serviceEvent performer's assignedEntity
'city' element is present, it SHALL be submitted
exactly once.
Updated the edit to read:
4.0
If the serviceEvent performer's assignedEntity
'state' element is present, it SHALL be submitted
exactly once and be valid according to
Appendix_AK-State in the posted Downloadable
Resource table.
Updated the edit to read:
4.0
If the serviceEvent performer's assignedEntity
'postalcode' element is present, it SHALL be
submitted exactly once.
Updated the edit to read:
4.0
If the serviceEvent performer's assignedEntity
'assignedPerson' element is present, it shall be
submitted exactly once.
Updated the edit to read:
4.1
A covered party in a policy activity SHALL contain
one or more participant / participantRole / id, to
represent the patient's member or subscriber
identifier with respect to the payer.
13441
Updated edit to read:
4.1
For participant/participantRole/id, HIC Number
SHALL be submitted and id/@root SHALL be
2.16.840.1.113883.3.249.13. Changed from
Conditional to Required.
13442
Updated the edit to read:
Page 4 of 5
4.0
Release notes for Data Submission Specifications for Utilizing HL7
Quality Reporting Document Architecture Based on HL7 CDA Release
2.0, version 4.1
April 2012
Document
Name
Tab
Number
and Edits
Description of Change
Version
If participant/participantRole/id@root is
2.16.840.1.113883.3.249.13, the id@extension
SHALL be a valid HIC number format.
Body Errors
and Edits
Payers
13443
Removed Edit
4.0
Body Errors
and Edits
Results
14232
Updated the edit to read:
4.0
Body Errors
and Edits
Vital_Signs
The Results observation 'value' SHALL be greater
than or equal to the MINIMUM VALUE and less
than or equal to the MAXIMUM VALUE (as
referenced in Appendix_F-Results of the
Downloadable Resource table) for the
observation 'code' submitted.
14433
Updated the edit to read:
The Results observation 'value' SHALL be greater
than or equal to the MINIMUM VALUE and less
than or equal to the MAXIMUM VALUE (as
referenced in Appendix_E-Vital_Signs of the
Downloadable Resource table) for the
observation 'code' submitted.
Page 5 of 5
4.0
| File Type | application/pdf |
| Author | SDPS |
| File Modified | 2012-04-25 |
| File Created | 2012-04-25 |