Final round of changes to templates per QDM 5.3 review

esacinc · Dec 15, 2017 · 61fa55c · 61fa55c
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Showing 5 changed files with 62 additions and 27 deletions.
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Entry Reference/Entry Reference-Good.xml b/Schematrons/HL7 QRDA Category I/Templates/Entry Reference/Entry Reference-Good.xml
@@ -10,16 +10,46 @@
   xsi:schemaLocation="urn:hl7-org:v3 ../Schema/CDA/infrastructure/cda/CDA_SDTC.xsd" xmlns="urn:hl7-org:v3"
   xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
 
-  <entryRelationship typeCode="REFR">
-    <act classCode="ACT" moodCode="EVN">
-      <templateId root="2.16.840.1.113883.10.20.22.4.122" />
-      <!-- This ID equals the ID of the goal of a pulse 
-                        ox greater than 92% -->
-      <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
-      <!-- The code is nulled to "NP" Not Present" -->
-      <code nullFlavor="NP" />
-      <statusCode code="completed" />
-    </act>
-  </entryRelationship>
+  <act classCode="ACT" moodCode="EVN">
+    <!-- Health Concern Act of a pneumonia diagnosis -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.132" />
+    <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c" />
+    <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern" />
+    <statusCode code="active" />
+    <effectiveTime value="20130616" />
+    <entryRelationship typeCode="REFR">
+      <!-- Problem Observation (V2) -->
+      <observation classCode="OBS" moodCode="EVN">
+        <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09" />
+        <id root="8dfacd73-1682-4cc4-9351-e54ccea83612" />
+        <code code="29308-4"
+          codeSystem="2.16.840.1.113883.6.1"
+          codeSystemName="LOINC"
+          displayName="Diagnosis"/>
+        <statusCode code="completed" />
+        <effectiveTime>
+          <!-- Date of diagnosis -->
+          <low value="20130616" />
+        </effectiveTime>
+        <value xsi:type="CD" code="233604007"
+          codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED"
+          displayName="Pneumonia" />
+        <!-- This Entry Reference refers to a goal, intervention, actual
+outcome, or some other entry present in the Care Plan
+that the Health Concern is related to-->
+        <entryRelationship typeCode="REFR">
+          <act classCode="ACT" moodCode="EVN">
+            <templateId root="2.16.840.1.113883.10.20.22.4.122" />
+            <!-- This ID equals the ID of the goal of a pulse
+ox greater than 92% -->
+            <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
+            <!-- The code is nulled to "NP" Not Present" -->
+            <code nullFlavor="NP" />
+            <statusCode code="completed" />
+          </act>
+        </entryRelationship>
+      </observation>
+    </entryRelationship>
+  </act>
 
 </ClinicalDocument>
diff --git a/.../HL7 QRDA Category I/Templates/Medication Dispensed V4/Medication Dispensed V4-ERRORS.xml b/.../HL7 QRDA Category I/Templates/Medication Dispensed V4/Medication Dispensed V4-ERRORS.xml
@@ -5,18 +5,21 @@
     Author: Dan Donahue
     Date: 08-01-2017
     JIRA: https://tracker.esacinc.com/browse/QRDA-220
+    Update: 12-15-2017 Updates per QDM 5.3 review
  
-    Total Errors Expected: 16
+    Total Errors Expected: 18
 			Failure a-3343-27528-error SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27528).
 			Failure a-3343-27529-error SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-27529).
 			Failure a-3343-13851-error SHALL contain exactly one [1..1] templateId (CONF:3343-13851) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.45" (CONF:3343-13852). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26555).
 			Failure a-3343-19440-error SHALL contain exactly one [1..1] statusCode (CONF:3343-19440).
 			Failure a-3343-28910-error SHALL contain exactly one [1..1] author (CONF:3343-28910).
-			Failure a-3343-28669-error This template SHALL be contained by a Medication Dispensed Act (V2) (CONF:3343-28908).
+			Failure a-3343-28908-error This template SHALL be contained by a Medication Dispensed Act (V2) (CONF:3343-28908).
 		    Failure a-3343-29011-error This author SHALL contain exactly one [1..1] time (CONF:3343-29011).
 			Failure a-3343-29010-error This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29010).
 		    Failure a-3343-29012-error This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29012).
 		    Failure a-3343-19441-error This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-19441).
+		    Failure a-3343-29143-error The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:3343-29143). 
+			Failure a-3343-29144-error The effectiveTime, if present, SHALL contain exactly one [1..1] high (CONF:3343-29144). 
 			Failure a-3343-28226-error This substanceAdministration SHALL contain exactly one [1..1] @classCode="SBADM" Substance Administration (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28226).	
 			Failure a-3343-28227-error This substanceAdministration SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28227).
 			Failure a-3343-28229-error This substanceAdministration SHALL contain exactly one [1..1] consumable (CONF:3343-28229).
@@ -59,6 +62,9 @@
 				<!-- Failure a-3343-28910-error SHALL contain exactly one [1..1] author (CONF:3343-28910). -->
 				<!-- Failure a-3343-29011-error This author SHALL contain exactly one [1..1] time (CONF:3343-29011). -->
 				<author></author>
+				<!-- Failure a-3343-29143-error The effectiveTime, if present, SHALL contain exactly one [1..1] low -->
+				<!-- Failure a-3343-29144-error The effectiveTime, if present, SHALL contain exactly one [1..1] high  -->
+				<effectiveTime>	</effectiveTime>
 				<!-- QDM Attribute: Refills -->
 				<!-- ... -->
 				<entryRelationship typeCode="REFR">

diff --git a/...ns/HL7 QRDA Category I/Templates/Medication Dispensed V4/Medication Dispensed V4-GOOD.xml b/...ns/HL7 QRDA Category I/Templates/Medication Dispensed V4/Medication Dispensed V4-GOOD.xml
@@ -25,12 +25,11 @@
 				<id root="50ed595a-dfb6-49f0-8b19-1901b5d01c1a"/>
 				<statusCode code="completed"/>
 				<author>
-					<time value="201504081130"/>
+					<time value="2017050101030"/>
 					<assignedAuthor>
-						<id nullFlavor="NA"/> 
+						<id nullFlavor="NA"/>
 					</assignedAuthor>
 				</author>
-
 				<!-- QDM Attribute: Refills -->
 				<repeatNumber value="4"/>
 				<product>

diff --git a/Schematrons/HL7 QRDA Category I/Templates/Medication Order V4/Medication Order V4-GOOD.xml b/Schematrons/HL7 QRDA Category I/Templates/Medication Order V4/Medication Order V4-GOOD.xml
@@ -22,6 +22,10 @@
 		<text>Medication active: 0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN
 			wheezing</text>
 		<statusCode code="active"/>
+		<effectiveTime xsi:type="IVL_TS">
+			<low value="201704081130"/>
+			<high value="201704081130"/>
+		</effectiveTime>
 		<!-- QDM Attribute: Frequency -->
 		<effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
 			<period value="6" unit="h"/>
@@ -50,5 +54,4 @@
 			</assignedAuthor>
 		</author>
 	</substanceAdministration>
-
 </ClinicalDocument>
diff --git a/...rons/HL7 QRDA Category I/Templates/Problem Concern Act V3/Problem Concern Act V3-Good.xml b/...rons/HL7 QRDA Category I/Templates/Problem Concern Act V3/Problem Concern Act V3-Good.xml
@@ -16,12 +16,10 @@
   xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
   <act classCode="ACT" moodCode="EVN">
     <!-- ** Problem Concern Act (V3) ** -->
-    <templateId root="2.16.840.1.113883.10.20.22.4.3" 
+    <templateId root="2.16.840.1.113883.10.20.22.4.3"
       extension="2015-08-01" />
     <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7" />
-    <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" >
-      <translation code="64572001" displayName="Condition" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
-    </code>
+    <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
     <!-- The statusCode represents the need to continue tracking the problem -->
     <!-- This is of ongoing concern to the provider -->
     <statusCode code="active" />
@@ -40,7 +38,6 @@
           codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
       </assignedAuthor>
     </author>
-
     <entryRelationship typeCode="SUBJ">
       <observation classCode="OBS" moodCode="EVN">
         <!-- ** Problem Observation (V3) ** -->
@@ -57,17 +54,17 @@
           <!-- Based on signs and symptoms, appears to be resolved on Aug 14, 2013 -->
           <high value="20080814" />
         </effectiveTime>
-        <value xsi:type="CD" 
-          code="233604007" 
-          codeSystem="2.16.840.1.113883.6.96"  
+        <value xsi:type="CD"
+          code="233604007"
+          codeSystem="2.16.840.1.113883.6.96"
           displayName="Pneumonia" />
         <author typeCode="AUT">
           <templateId root="2.16.840.1.113883.10.20.22.4.119" />
           <time value="200808141030-0800" />
           <assignedAuthor>
             <id extension="555555555" root="2.16.840.1.113883.4.6" />
-            <code code="207QA0505X" 
-              displayName="Adult Medicine" 
+            <code code="207QA0505X"
+              displayName="Adult Medicine"
               codeSystem="2.16.840.1.113883.6.101"
               codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
           </assignedAuthor>