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Merge pull request #1464 from CMSgov/feature/QPPSE-2856-Upload_Valida…
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QPPSE-2856: Add PY2024 validation files
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sivaksb authored Oct 15, 2024
2 parents f57f391 + 1ec14e6 commit f11f5cd
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Original file line number Diff line number Diff line change
@@ -1,9 +1,9 @@
<?xml version="1.0" encoding="UTF-8"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
<realmCode code="US"/>
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
<templateId extension="2020-12-01" root="2.16.840.1.113883.10.20.27.1.1"/>
<templateId extension="2022-12-01" root="2.16.840.1.113883.10.20.27.1.2"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<templateId root="2.16.840.1.113883.10.20.27.1.1" extension="2020-12-01"/>
<templateId root="2.16.840.1.113883.10.20.27.1.2" extension="2022-12-01"/>
<id root="d9181c9b-89ee-4bb2-96e3-9baa467131d3"/>
<code code="55184-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Quality Reporting Document Architecture Calculated Summary Report"/>
Expand All @@ -18,46 +18,51 @@
<id nullFlavor="NA"/>
</patientRole>
</recordTarget>
<!--Device Author Example-->
<author>
<time value="20230211061231"/>
<assignedAuthor>
<id root="adcc09b7-5f3e-438a-ad07-26438c851996"/>
<assignedAuthoringDevice>
<softwareName>Epic Systems Corporation</softwareName>
<softwareName>Some Data Aggregator Tool AS00016dev</softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id extension="223344" root="2.16.840.1.113883.19.5"/>
<id root="2.16.840.1.113883.19.5" extension="223344"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedAuthor>
</author>
<!--Person Author Example-->
<author>
<time value="20230211061231"/>
<assignedAuthor>
<id assigningAuthorityName="NPI" extension="2567891421" root="2.16.840.1.113883.4.6"/>
<id root="2.16.840.1.113883.4.6"
extension="2567891421"
assigningAuthorityName="NPI"/>
<assignedPerson>
<name>
<given>John</given>
<family>Smith</family>
<given>Trevor</given>
<family>Phillips</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="223344" root="2.16.840.1.113883.19.5"/>
<id root="2.16.840.1.113883.19.5" extension="223344"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id extension="223344" root="2.16.840.1.113883.19.5"/>
<id root="2.16.840.1.113883.19.5" extension="223344"/>
<name>Good Healthcare Practice</name>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<!--Program for which data is being submitted-->
<informationRecipient>
<intendedRecipient>
<id extension="PCF" root="2.16.840.1.113883.3.249.7"/>
<id root="2.16.840.1.113883.3.249.7" extension="PCF"/>
</intendedRecipient>
</informationRecipient>
<legalAuthenticator>
Expand All @@ -66,34 +71,40 @@
<assignedEntity>
<id root="4c4737b5-42bc-4234-996b-05bf31f0dde0"/>
<representedOrganization>
<id extension="223344" root="2.16.840.1.113883.19.5"/>
<id root="2.16.840.1.113883.19.5" extension="223344"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedEntity>
</legalAuthenticator>

<!--Practice Site ID and address-->
<participant typeCode="LOC">
<associatedEntity classCode="SDLOC">
<id assigningAuthorityName="CMS-CMMI" extension="AR1898" root="2.16.840.1.113883.3.249.5.3"/>
<code code="394730007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"
displayName="Unity Health North Cabot Family Medicine"/>
<id root="2.16.840.1.113883.3.249.5.3"
extension="OR1234"
assigningAuthorityName="CMS-CMMI"/>
<code code="394730007"
displayName="healthcare related organization"
codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED-CT"/>
<addr>
<streetAddressLine>3520 Molina street</streetAddressLine>
<city>Shakopee</city>
<state>Minnesota</state>
<postalCode>55379</postalCode>
<streetAddressLine>256 Clinic Way</streetAddressLine>
<city>Eugene</city>
<state>OR</state>
<postalCode>97401</postalCode>
</addr>
</associatedEntity>
</participant>

<!--CMS EHR Certification ID-->
<participant typeCode="DEV">
<associatedEntity classCode="RGPR">
<id extension="2215E1235689774" root="2.16.840.1.113883.3.2074.1"/>
<code code="129465004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"
displayName="medical record, device"/>
<id root="2.16.840.1.113883.3.2074.1" extension="0015CVB2BF5C2K9"/>
<code code="129465004"
displayName="medical record, device"
codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED-CT"/>
</associatedEntity>
</participant>

<!--Providers in Practice Site for which data is being submitted. Include all TIN/NPI combinations that are active at any point during the performance year, as indicated on the practice's PCF practitioner roster-->
<documentationOf typeCode="DOC">
<serviceEvent classCode="PCPR">
<effectiveTime>
Expand All @@ -106,10 +117,10 @@
<high value="20241231"/>
</time>
<assignedEntity>
<id extension="2589654740" root="2.16.840.1.113883.4.6"/>
<id root="2.16.840.1.113883.4.6" extension="2567891421"/>
<representedOrganization>
<id extension="990000099" root="2.16.840.1.113883.4.2"/>
<name>QRDA Test File Generator Practice</name>
<id root="2.16.840.1.113883.4.2" extension="990000099"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedEntity>
</performer>
Expand All @@ -119,10 +130,23 @@
<high value="20241231"/>
</time>
<assignedEntity>
<id extension="2357943549" root="2.16.840.1.113883.4.6"/>
<id root="2.16.840.1.113883.4.6" extension="2589654740"/>
<representedOrganization>
<id extension="990000099" root="2.16.840.1.113883.4.2"/>
<name>QRDA Test File Generator Practice</name>
<id root="2.16.840.1.113883.4.2" extension="990000099"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedEntity>
</performer>
<performer typeCode="PRF">
<time>
<low value="20240101"/>
<high value="20241231"/>
</time>
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="2357943549"/>
<representedOrganization>
<id root="2.16.840.1.113883.4.2" extension="990000099"/>
<name>Good Healthcare Practice</name>
</representedOrganization>
</assignedEntity>
</performer>
Expand All @@ -131,19 +155,28 @@
<authorization>
<consent>
<id root="beedc8b1-5482-400c-bba0-728c2c0ad433"/>
<code code="425691002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"
displayName="consent given for electronic record sharing"/>
<code code="425691002"
displayName="consent given for electronic record sharing"
codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED-CT"/>
<statusCode code="completed"/>
</consent>
</authorization>

<!--
********************************************************
QRDA Body
********************************************************
-->
<component>
<structuredBody>

<!--
********************************************************
QRDA Category III Measure Section (CMS EP)
********************************************************
-->
<component>
<!-- No Quality Category -->
</component>

</structuredBody>
</component>
</ClinicalDocument>
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