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XPath stands for XML Path Language and uses a "path like" syntax to identify and navigate nodes in an XML document.  XPath is a W3C recommended standard utilized , available via their website at https://www.w3schools.com/xml/xpath_intro.asp, that is utilized by HL7. 

The Joint Commission's XPath and Measure OIDs Document is being provided to assist software developers in understand where the DDS Platform is expecting data to exist within the QRDA I Document. There are three Tabs within the document. They are:

  • 2021 2024 Release xPath tab - contains the xPath which is used to find or map the location of each element within a QRDA I document. The “Key Table” section at the bottom of this tab makes the mapping more readable, the Key Table provides the XPath for the corresponding sections. Replace {SectionName} with the Section xPath on the Key Table. Then parse the resulting path and return the data from the parameters given in the @ part.

  • msrcattyp tab - provides the crosswalk the eCQM measure results and the chart-abstracted measure category assignments.

  • MeasureID tab - provides the measure IDs and OIDs of the eCQMs supported by The Joint Commission for CY2021 CY2024 Reporting.

  • Inpatient Tab - provides the Inpatient OIDs

XPath and Measure OIDs Document:

View file
name

CY2021

CY2024_CrossWalkXPATH_RuleEngine.xlsx

How to Download:

Note: Above is a link to the CY2024 CrossWalk that can be opened with a mouse-click.

  1. Click on the MS Excel icon to the left and the document opens.

  2. Find the download symbol (most likely in the upper right hand corner of the document).

  3. Click on the download symbol and save the MS Excel document onto your computer.

Schematron Rules

“Schematron” is a rule-based validation language for making assertions about the presence or absence of patterns in XML trees. It is a structural schema language expressed in XML using a small number of elements and XPath.

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The Joint Commission’s Schematron Rules are being provided to assist software developers in understanding how the DDSP validates uploaded QRDA I documents. The zip file contains a ‘.sch' file and may be opened in Notepad or another application that is able to open this type of file.

Schematron Rules:

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file

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How to Download:

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  1. Select the zip file

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Click on the download button or find the download symbol (most likely in the upper right hand corner of your browser).

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Click on the download symbol and save the document on your computer.

 

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  1. :

View file
name

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20240304_CY2024_TJC_Schematron

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How to Download:

  1. Click on the MS Excel icon to the left and the document opens.

  2. Find the download symbol (most likely in the upper right hand corner of the document).

  3. Click on the download symbol and save the MS Excel document onto your computer.

This combined with the  Error and warning messages provides the entire list of edits being evaluated against the documents.

Edit and Warning Messages:

View file
nameCY2021_TJC_Edits_Messages.xlsx

How to Download:

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Click on the MS Excel icon to the left and the document opens.

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zip

  1. Use the download button to download the file (typically in the upper right hand corner of

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  1. your browser).

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  1. Select the download

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  1. icon and save the

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  1. document

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The Conformance Number for each rule is provided within the schematron document.  These Conformance Numbers are available within Source Viewer to assist in tying error and warning messages back to the schematron rule.

There are three types of conformance statements with different formats for the CONF number:displayed.

  • Joint Commission CONF numbers (TJC-xxxxxx)

  • CMS CONF numbers (CMS_xxxx_xxxx-C01 or xxxx_xxxx-C01)

  • HL7 Clinical Document Architecture (CDA) QRDA Category I Errors (xxxx_xxxx). 

o   Please note that HL7 Conformance numbers are not prefixed with "HL7".  All Conformance numbers without the prefix of "TJC" or "CMS" or a suffix of "C01" are HL7 Conformance numbers.

For more information concerning CMS or HL7 Conformance numbers, see the below reference material:

  • CMS:  Visit the eCQI Resource Center CMS QRDA IG publication page for the documents associated to this year's data.

  • HL7: Visit the HL7 website to obtain the version of the HL7 CDA® R2 IG: QRDA I applicable for this year's data.

  • The HL7 website may require a HL7 account in order to download the Implementation Guide (IG).

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  1. on your computer.