Message #

Section/ Element

Status

Data Accuracy Label
(Short Description)

Source Viewer Description
(Long Description)

Expected Behavior in Source Viewer Upon Clicking Error

 Additional Information

100001

Discharge Date

Critical

Missing Encounter Performed Relevant Period High Date

Encounter Performed Relevant Period High Date (effectiveTime/ high) is missing (TJC-100001)

Highlight the encounter performed section, which is missing the 'high' time field, in the source viewer

Validate effective-time 'high' field of all Encounter Performed which includes Inpatient encounter, ED, Observation.

100002

Discharge Date

Critical

Invalid Encounter Performed Relevant Period High Date

Invalid Encounter Performed Relevant Period High Date (effectiveTime/ high) has been provided or it's before 1900. (TJC-100002)

Highlight the encounter performed section which has invalid 'high' time  in the source viewer

Apply all date validation
Do not apply offset, but validate offset format

Valid Date/Time Format:
YYYYMMDDHHMMSSxUUUU
where
YYYY - year Range 1900 to 9999
MM - month - range 01 to 12
DD - day - range 01 to 31 (note: true to month and leap years)
HH - hour - range 0 to 23
MM - minutes - range 0-59
SS - seconds - range 0-59 x - plus or minus sign
UUUU - UTC time shift -1200 thru+1400

100004

Discharge Date

Critical

Invalid Encounter Performed Relevant Period High Date

Encounter Performed Relevant Period High Date (effectiveTime/ high) must be precise to the minute. (TJC-100004)

Highlight the encounter performed section which has invalid 'high' time  in the source viewer

Validate effective-time 'high' value of all Encounter Performed which includes Inpatient encounter, ED, Observation.

100005

Discharge Date

Critical

Encounter Performed Relevant Period High Date is out of range

Encounter Performed Relevant Period High Date  effectiveTime/ high) cannot be greater than current date. (TJC-100005)

Highlight the encounter performed section which has invalid 'high' time  in the source viewer

Validate effective-time 'high' value of all Encounter Performed which includes Inpatient encounter, ED, Observation.

100006

Admit Date

Critical

Invalid Encounter Performed Relevant Period Low Date

Invalid Encounter Performed Relevant Period Low Date  effectiveTime/ low) has been provided or it's before 1900. (TJC-100006)

Highlight the encounter performed section, which has invalid the 'low' time field, in the source viewer

Apply all date validation
Do not apply offset, but validate offset format

Valid Date/Time Format:
YYYYMMDDHHMMSSxUUUU
where
YYYY - year Range 1900 to 9999
MM - month - range 01 to 12
DD - day - range 01 to 31 (note: true to month and leap years)
HH - hour - range 0 to 23
MM - minutes - range 0-59
SS - seconds - range 0-59 x - plus or minus sign
UUUU - UTC time shift -1200 thru+1400

100007

Admit Date

Critical

Missing Encounter Performed Relevant Period Low Date

Encounter Performed Relevant Period Low Date  effectiveTime/ low) is required. (TJC-100007)

Highlight the encounter performed section, which is missing the 'low' time field, in the source viewer

Validate effective-time 'low' field of all Encounter Performed which includes Inpatient encounter, ED, Observation.

100008

DateTime

Critical

Invalid DateTime

Invalid DateTime has been provided. (TJC-100008)

Highlight the template/EffectiveTime with incorrect date

Only validate effectiveTime, Time, and birthTime in QRDA that are listed in TJC xPath Document required by current eCQMs and other than Inpatient Encounter Performed Admit and discharge date.

Check effectiveTime/Time/birthTime's provided values for  accurate format.

Validation for Assessment Performed Result as DateTime.
XPATH location: {AssessmentPerformed}/value @xsi:type="TS": @value

Valid Date/Time Format:
YYYYMMDDHHMMSSxUUUU
where
YYYY - year - range 1900 to 9999
MM - month - range 01 to 12
DD - day - range 01 to 31 (note: true to month and leap years)
HH - hour - range 0 to 23
MM - minutes - range 0-59
SS - seconds - range 0-59 x - plus or minus sign
UUUU - UTC time shift -1200 thru+1400

Do not apply offset- but validate the offset format

100009

Admit Date

Critical

Invalid Encounter Performed Relevant Period Low Date

Encounter Performed Relevant Period Low Date  effectiveTime/ low) value must be precise to the minute. (TJC-100009)

Highlight the encounter performed   section, which has invalid the 'low' time field, in the source viewer

Validate effective-time 'low' value of Encounter Performed which includes Inpatient encounter, ED, Observation.

100010

Admit Date

Critical

Encounter Performed Relevant Period Low Date is out of range

Encounter Performed Relevant Period Low Date  effectiveTime/ low) cannot be greater than current date (TJC-100010)

Highlight the encounter performed  section, which has invalid the 'low' time field, in the source viewer

Validate effective-time 'low' value of all Encounter Performed which includes Inpatient encounter, ED, Observation.

100012

DateTime

Warning

Invalid DateTime

Invalid DateTime has been provided. (TJC-100012)

Highlight the template/EffectiveTime with incorrect date

Only validate effectiveTime, Time, and birthTime in QRDA that are listed in TJC xPath Document but NOT used by current eCQMs.  
Check effectiveTime/Time/birthTime's provided values for  accurate format.

Valid Date/Time Format:
YYYYMMDDHHMMSSxUUUU
where
YYYY - year - range 1900 to 9999
MM - month - range 01 to 12
DD - day - range 01 to 31 (note: true to month and leap years)
HH - hour - range 0 to 23
MM - minutes - range 0-59
SS - seconds - range 0-59 x - plus or minus sign
UUUU - UTC time shift -1200 thru+1400

Do not apply offset- but validate the offset format

100022

Discharge Date

Critical

No Discharge Date in Reporting Period

CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR) and there is NO Inpatient Discharge Date within the reporting period defined in the Reporting Parameters section in the QRDA file. (TJC-100022)

Highlight the first Inpatient Encounter

When CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR)
Anything on or before 23:59:59 local time on the final day of the reporting period is valid.
Do not apply offset before validation

100023

High@value

Critical

 Event start date after the end date

Event End date is before the Event Start Date. (TJC-100023)

Highlight the template/EffectiveTime with incorrect date

Rejection  for all dates in TJC xPath Document required by current eCQMs.  

apply offset before validation

100024

High@value

Warning

 Event start date after the end date

Event End date is before the Event Start Date. (TJC-100024)

Highlight the template/EffectiveTime with incorrect date

Warning for all dates in TJC xPath Document but not used by current eCQMs.  

apply offset before validation

100025

Encounter ID

Warning

Inconsistent reporting of Inpatient Encounter

CMS Program Name is an Inpatient Program and
there exists inconsistent encounter id, code/codeSystem or effectiveTime in the Inpatient Encounter templates for the same episode, there is a possibility of increased number of EOCs. (TJC-100025)

Highlight the first instance of Inpatient Encounter template for the same episode

For CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR)
When two inpatient encounters exist, if below condition, we consider they are the same encounter:

*admit and discharge dates are the same

Or

*encounter IDs and extension are the same

If the same inpatient encounters are reported, we only allow for valueset to be different, everything else should be the same.  If any below condition, we trigger this edit:

1. Admit, discharge date or their offsets are different
2. Encounter ID or extension is different
3. encounter code/codeSystem is different

Apply offset before comparison

100026

Encounter ID

Warning

Duplicate Inpatient Encounter Detected

CMS Program Name is an Inpatient Program and two instances of inpatient encounter template are exactly the same. The last instance in the QRDA file will be used for measure evaluation. Remove duplicate encounter template/s to avoid unexpected outcome. (TJC-100026)

Highlight the first instance of Inpatient Encounter template for the same episode

For CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR)
Admit and discharge dates, encounter code and encounter ID (root and extension) are the same among duplicates.

Apply offset

100027

Patient id

Critical

Invalid QRDA XML file

Source Viewer stays blank with no data

Any character which engine is not able to process will trigger this error
(& and foreign numbers and characters are invalid chars).
Following characters are valid for patient_id:
English alphabet and numeric characters, and following special characters:
 ~  !  @  #  $  %  ^  *  (  )  _  +  {  }  |  :  ?  `  -  =  [  ]  \  ;  ‘  .  ,  /  < > and space 

100029

Patient id

Critical

Invalid Patient ID

Invalid Patient ID has been provided. (TJC-100029)

Expectation: Highlight the Patient ID

The patient-id fields cannot be greater than 100 characters OR there are invalid characters.

100031

XML File

Critical

Invalid QRDA XML file

Source Viewer stays blank with no data

File is not a valid QRDA XML file

100032

CCN

Critical

Incorrect CCN Reported

The CCN does not match with the CCN associated to the current HCO. (TJC-100032)

Highlight the CCN Number

The CCN is provided. However, the CCN in the document does not match with the CCN associated to the current user.

100035

Header Effective Time

Critical

Missing or invalid Header EffectiveTime

Invalid or null US Realm Date and Time is provided. (TJC-100035)

Highlight the header effectiveTime

US Realm Date and Time under <header> as given in the XPath is null or invalid. 
Valid Date/Time Format:
YYYYMMDDHHMMSSxUUUU
where
YYYY - year - range 1900-9999
MM - month - range 01 to 12
DD - day - range 01 to 31 (note: true to month and leap years)
HH - hour - range 0 to 23
MM - minutes - range 0-59
SS - seconds - range 0-59 x - plus or minus sign
UUUU - UTC time shift -1200 thru+1400

Note: Do not use the template id to find the date, Following the  XPath should be sufficient to find the effective time

Do not apply offset before validation

100036

Encounter ID

Warning

Inpatient encounter outside of the reporting quarter

CMS Program Name is an inpatient Program and there exists an inpatient encounter with discharge datetime outside of the reporting quarter defined in the Reporting Parameter of the QRDA document.  (TJC-100036)

Highlight the Encounter ID

For CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR)
This warning will only trigger when at least one of the inpatient encounter's discharge datetime is outside of the reporting quarter.  
Do not apply offset

100037

Route Code

Warning

A required Medication Route is missing

Route code is missing for an administered medication, and is required by a reported eCQM. (TJC-100037)

Highlight the Medication Template, which is missing the route, AND has negationInd=false or it's negationInd missing AND the code belongs to the value set required by eCQM

Only trigger the warning for those Medications that belong to the value set that eCQM asks for, AND do not have the route and are not negated with negationID=true. (e.g. VTE-1 and VTE-2)

Below listed are Value sets and Codes that need Route code

1. Unfractionated Heparin value set (2.16.840.1.113883.3.117.1.7.1.218) contains the following codes:

 (1361607, 1658717, 1659195, 1659197)

2. Low Dose Unfractionated Heparin for VTE Prophylaxis (2.16.840.1.113762.1.4.1045.39 ) value set contains the following codes :

 (1361226, 1361568, 1361574, 1361577, 1361615, 1361853, 1362831, 1658634, 1658637, 1658647, 1658659, 1659260, 1659263, 1798389, 2121591)

RouteCode ValueSets and codes
A) ["Medication, Administered": "*Low Dose Unfractionated Heparin for VTE Prophylaxis*"] VTEMedication
where VTEMedication.route in "Subcutaneous route":
"Subcutaneous route" valueset 2.16.840.1.113883.3.117.1.7.1.223 and code in this value set- 34206005

B) Medication, Administered": "Unfractionated Heparin"] UnfractionatedHeparin
 where UnfractionatedHeparin.route in "Intravenous route"
"Intravenous route"  valueset 2.16.840.1.113883.3.117.1.7.1.222and codes in this value set- 418114005, 419993007, 47625008

100039

Result Unit

Warning

Unacceptable Unit Reported

There exists an unacceptable unit in the QRDA document. Enter the correct unit as definied in the eCQM logic to avoid an unexpected outcome. (TJC-100039)

Highlight the incorrect/invalid unit

Validate this edit only when below conditions are met-

1. When below specified measures are reported

2. When code is in the below listed Value Sets

3. When result value is provided

Note: DO NOT trigger warning if code is provided from below listed Value Sets but reported measure is not from below specified measures.

List of measures,  required units and data element/Value Sets:

1. eHH-1 and eHH-2 - unit- ‘mg/dL’ for Laboratory Test Performed

"Laboratory Test, Performed: Glucose Lab Test Mass Per Volume" using "Glucose Lab Test Mass Per Volume (2.16.840.1.113762.1.4.1248.34)"

2. ePC-01, ePC-02, ePC-05, ePC-06, ePC-07 - unit- 'wk', 'week' or 'weeks' for Assessment Performed Gestational Age calculation.

For ePC-01, ePC-02, and ePC-07"- Assessment, Performed: Estimated Gestational Age at Delivery" using "Estimated Gestational Age at Delivery (2.16.840.1.113762.1.4.1045.26)"

For  ePC-05 and ePC-06- code "Gestational age--at birth" ("LOINC Code (76516-4)")

3. For ePC-05, ePC-06 - 'g' for Assessment Performed Birth Weight calculation

valueset "Birth Weight" (2.16.840.1.113762.1.4.1029.194)

100041

Header intendedRecipient

Critical

No outpatient measure reported

CMS Program Name is "HQR_OQR", but there is no TJC supported outpatient measure reported in file. (TJC-100041)

Highlight the CMS program name

This edit triggers when QRDA file contains CMS program name as 'HQR_OQR' but no TJC supported outpatient measures are reported.

100042

Header intendedRecipient

Critical

No inpatient measure reported

CMS Program Name is an Inpatient Program (HQR_PI, HQR_IQR, HQR_PI_IQR), but there is no TJC supported inpatient measure reported in file.  (TJC- 100042)

Highlight the CMS program name

This edit triggers when QRDA file contains CMS program name as 'HQR_OQR' but no TJC supported outpatient measures are reported.

100043

Header intendedRecipient

Warning

Inpatient measure reported for outpatient CMS program name

Inpatient measures will not be evaluated when reported CMS program name is 'HQR_OQR' . (TJC- 100043)

Highlight the CMS program name

This warning will only trigger when

*CMS program name as 'HQR_OQR '

*QRDA file contains TJC supported outpatient measures

*And at least one of the TJC supported inpatient measures

100044

Header intendedRecipient

Warning

Outpatient measure reported for inpatient CMS program name

Outpatient measures will not be evaluated when reported CMS program name as ' HQR_PI' OR ''HQR_IQR' OR 'HQR_PI_IQR ' . (TJC- 100044)

Highlight the CMS program name

This warning will only trigger when

*CMS program name as 'HQR_PI' OR ''HQR_IQR' OR 'HQR_PI_IQR '

*QRDA file contains TJC supported Inpatient measures

*And at least one of the TJC supported outpatient measures

100045

Departure Date

Critical

No ED Relevant Period High Date in Reporting Period

CMS Program Name is 'HQR_OQR' and there is NO ED Relevant Period High Date (effectiveTime/ high) within the reporting period defined in the Reporting Parameters section in the QRDA file. (TJC-100045)

Highlight the first Departure Encounter 

When CMS Program Name is an outpatient Program (HQR_OQR)
Anything on or bef
Anything on or before 23:59:59 local time on the final day of the reporting period is valid.
Do not apply offset before validation

100046

Encounter ID

Warning

Inconsistent reporting of Outpatient Encounter

CMS Program Name is an Outpatient Program and
there exists inconsistent encounter id, code/codeSystem or effectiveTime in the Outpatient Encounter templates for the same episode, there is a possibility of increased number of EOCs. (TJC-100046)

Highlight the first instance of Outpatient Encounter template for the same episode

For CMS Program Name is an Outpatient Program (HQR_OQR)
When two outpatient encounters exist, if below condition, we consider they are the same encounter:

*Relevant Period Low Date and Relevant Period High Dates are the same

Or

*encounter IDs and extension are the same

If the same outpatient encounters are reported, we only allow for valueset to be different, everything else should be the same.  If any below condition, we trigger this edit:

1. Relevant Period Low Date and Relevant Period High Date or their offsets are different

2. Encounter ID or extension is different

3. encounter code/codeSystem is different

Apply offset before comparison

100047

Encounter ID

Warning

Duplicate Outpatient Encounter Detected

CMS Program Name is an Outpatient Program and two instances of outpatient encounter template are exactly the same. The last instance in the QRDA file will be used for measure evaluation. Remove duplicate encounter template/s to avoid unexpected outcome. (TJC-100047)

Highlight the first instance of Outpatient Encounter template for the same episode

For CMS Program Name is an Outpatient Program (HQR_OQR)
Relevant Period Low Date and Relevant Period High Date, encounter code and encounter ID (root and extension) are the same among duplicates.

Apply offset

100048

Encounter ID

Warning

Outpatient encounter outside of the reporting quarter

CMS Program Name is an Outpatient Program and there exists an outpatient encounter Relevant Period High Date outside of the reporting quarter defined in the Reporting Parameter of the QRDA document.  (TJC-100048)

Highlight the Outpatient Encounter ID

For CMS Program Name is an Outpatient Program (HQR_OQR)
This warning will only trigger when at least one of the outpatient encounter Relevant Period High Date is outside of the reporting quarter.  
Do not apply offset

Message #

Section / Element

Status

Data Accuracy Label(Short Description)

Source Viewer Description (Long Description)

Expected Behavior in Source Viewer Upon Clicking Error

Additional Information

CMS_0121

Time Zone

Critical

r-validate_TZ-errors

A Coordinated Universal Time (UTC time) offset should not be used anywhere in a QRDA Category I file or, if a UTC time offset is needed anywhere, then it must be specified everywhere a time field is provided (CONF: CMS_0121)

Highlights the date time field that has the inconsistent UTC time offset

Validate time zone offset for all datetime fields in the QRDA I file.

TJC_0121

Time Zone

Critical

r-validate_TZ-errors

A Coordinated Universal Time (UTC time) offset should not be used anywhere in a QRDA Category I file or, if a UTC time offset is needed anywhere, then it must be specified everywhere a time field is provided (CONF: TJC_0121)

Highlights the date time field that has the inconsistent UTC time offset for an Observation result that is a datetime

Validate time zone offset for all datetime fields in the QRDA I file.

TJC-0007

Reporting Parameter

Critical

Reporting-Parameters-Act-TJC-errors

This effectiveTime SHALL contain exactly one [1..1] low and exactly one [1..1] high for reporting period start date and end date respectively. Reporting Period must only represent one calendar quarter with valid start and end dates of the quarter (TJC-0007).

Highlights Reporting Parameter section containing invalid start date and end date 

Validates the start and end date of Reporting Period in a given QRDA I file

TJC-0011

CCN

Critical

QDM_based_QRDA_TJC-errors

CCN (Facility CMS Certification Number), if present, SHALL be six to ten characters in length (TJC-0011).

Highlights the header section containing the CCN  which does not satisfy the length requirement

Validate CCN in a given QRDA I file.

TJC-0036

effectiveTime and Time

Warning

r-validate_effectiveTime-TJC-warnings

effectiveTime or time SHALL have either @value or low and high but SHALL NOT have @value and low and high. (TJC-0036)

Highlight the effectiveTime or Time attribute within a template that contains both @value and @low and/or @high

Validates the effectiveTime/Time attribute of all the data elements in a given QRDA I file

TJC-0048

Document Level templateID

Warning

r-DOCUMENT-TJC-US-HEADER-warnings

This document SHALL contain exactly one [1..1] US Realm document level templateId @root="2.16.840.1.113883.10.20.22.1.1" @extension="2015-08-01". CDA data elements will not be validated properly (TJC-0048).

Highlights the US Realm header section, which has incorrect extension

Validates the extension for the US header template ID in a given QRDA I file

TJC-0049

Document Level templateID

Warning

r-DOCUMENT-TJC-QRDA-HEADER-warnings

This document SHALL contain exactly one [1..1] QRDA Category I Framework document level templateId @root="2.16.840.1.113883.10.20.24.1.1" @extension="2017-08-01". QRDA-I data elements will not be validated properly (TJC-0049).

Highlights the QRDA Category I header section, which has incorrect extension

Validates the extension for the QRDA header template ID in a given QRDA I file

TJC-0050

Document Level templateID

Warning

r-DOCUMENT-TJC-QDM-HEADER-warnings

This document SHALL contain exactly one [1..1] QDM-based QRDA document level templateId @root="2.16.840.1.113883.10.20.24.1.2" @extension="2021-08-01". QDM data elements will not be validated properly (TJC-0050)

Highlights the QDM based QRDA header section, which has incorrect extension

Validates the extension for the QDM header template ID in a given QRDA I file

TJC-0051

Date Time Elements

Critical

r-validate_TZ-errors

A Coordinated Universal Time (UTC time) offset should not be used anywhere in a QRDA Category I file or, if a UTC time offset is needed anywhere, then it must be specified everywhere a time field is provided (CONF: TJC_0051)

Highlights the date time field that has the inconsistent UTC time offset

Added an additional constraint to the existing CMS version, for Assessment Performed data element when Result is submitted as date time.

TJC-0052

Race

Warning

r-validate_race-TJC-warnings-abstract

You have provided a raceCode that was not found in ValueSet Race urn:oid:2.16.840.1.114222.4.11.836. (TJC-0052)

Highlights the patient section containing the an invalid raceCode

Validates the code in the raceCode template in the patient section in a given QRDA I file

TJC-0053

Ethnicity

Warning

r-validate_ethnicity-TJC-warnings-abstract

You have provided a ethnicGroupCode that was not found in ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837. (TJC-0053)

Highlights the patient section containing the an invalid ethnicGroupCode

Validates the code in the ethnicGroupCode template in the patient section in a given QRDA I file

TJC-0054

Gender

Warning

r-validate_gender-TJC-warnings-abstract

You have provided a administrativeGenderCode that was not found in ValueSet ONC Administrative Sex urn:oid:2.16.840.1.113762.1.4.1. (TJC-0054)

Highlights the patient section containing the an invalid administrativeGenderCode

Validates the code in the administrativeGenderCode template in the patient section in a given QRDA I file