This document SHALL conform to template "QRDA Category III Report" (templateId: 2.16.840.1.113883.10.20.27.1.1). The document must contain at least 1 of the document level templates for this schematron to be applicable. SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:3269). SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:3270). SHALL contain exactly one [1..1] code="252116004" Observation Parameters (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96 STATIC) (CONF:3272). SHALL contain exactly one [1..1] effectiveTime (CONF:3273). This effectiveTime SHALL contain exactly one [1..1] low (CONF:3274). This effectiveTime SHALL contain exactly one [1..1] high (CONF:3275). SHALL contain exactly one [1..1] templateId (CONF:18098) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.17.3.8" (CONF:18099). SHALL contain at least one [1..*] id (CONF:26549). SHALL contain exactly one [1..1] entry (CONF:3277) such that it SHALL contain exactly one [1..1] @typeCode="DRIV" Is derived from (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:3278). SHALL contain exactly one [1..1] Reporting Parameters Act (identifier: urn:oid:2.16.840.1.113883.10.20.17.3.8) (CONF:17496). SHALL contain exactly one [1..1] title="Reporting Parameters" (CONF:4142). SHALL contain exactly one [1..1] text (CONF:4143). SHALL contain exactly one [1..1] templateId (CONF:14611) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.17.2.1" (CONF:14612). SHALL contain exactly one [1..1] code (CONF:18191). This code SHALL contain exactly one [1..1] @code="55187-9" Reporting Parameters (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19229). SHALL contain exactly one [1..1] templateId (CONF:12561) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.55" (CONF:12562). SHALL contain at least one [1..*] id (CONF:12564). SHALL contain exactly one [1..1] code (CONF:12565). This code SHALL contain exactly one [1..1] @code="48768-6" Payment source (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:14029). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14213). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14214). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Source of Payment Typology (PHDSC) 2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:16710). SHALL contain exactly one [1..1] effectiveTime (CONF:26933). This effectiveTime SHALL contain exactly one [1..1] low (CONF:26934). SHALL contain exactly one [1..1] code (CONF:12798). SHALL contain exactly one [1..1] title="Measure Section" (CONF:12799). SHALL contain exactly one [1..1] text (CONF:12800). SHALL contain exactly one [1..1] templateId (CONF:12801) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.2.2" (CONF:12802). SHALL contain at least one [1..*] entry (CONF:13003). This code SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19230). SHALL contain exactly one [1..1] @classCode="CLUSTER" cluster (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:12979). SHALL contain exactly one [1..1] @moodCode="EVN" event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:12980). SHALL contain exactly one [1..1] statusCode="completed" completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:12981). SHALL contain exactly one [1..1] reference (CONF:12982) such that it SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:12983). SHALL contain exactly one [1..1] externalDocument (CONF:12984). SHALL contain at least one [1..*] id (CONF:26992). SHALL contain exactly one [1..1] templateId (CONF:19532) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.98" (CONF:19533). This externalDocument SHALL contain at least one [1..*] id (CONF:12985) such that it SHALL contain exactly one [1..1] @root (CONF:12986). This text is the title of the eMeasure (CONF:12998). This externalDocument SHALL contain exactly one [1..1] @classCode="DOC" Document (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6) (CONF:19534). This ID references an ID of the Quality Measure (CONF:27008). SHALL contain exactly one [1..1] templateId (CONF:17208) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.1.1" (CONF:17209). SHALL contain exactly one [1..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:17210). SHALL contain exactly one [1..1] title (CONF:17211). QRDA III is an aggregate summary report. Therefore CDA's required recordTarget/id is nulled. The recordTarget element is designed for single patient data and is required in all CDA documents. In this case, the document does not contain results for a single patient, but rather for groups of patients, and thus the recordTarget ID in QRDA Category III documents contains a nullFlavor attribute (is nulled). SHALL contain exactly one [1..1] recordTarget (CONF:17212). SHALL contain exactly one [1..1] custodian (CONF:17213). This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:17214). This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:17215). A QRDA Category III document contains a Reporting Parameters Section and a Measure section. SHALL contain exactly one [1..1] component (CONF:17217). SHALL contain exactly one [1..1] legalAuthenticator (CONF:17225). SHALL contain exactly one [1..1] realmCode (CONF:17226). This realmCode SHALL contain exactly one [1..1] @code="US" (CONF:17227). This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:17232) such that it SHALL contain exactly one [1..1] id (CONF:17233). This id SHALL contain exactly one [1..1] @nullFlavor="NA" (CONF:17234). This component SHALL contain exactly one [1..1] structuredBody (CONF:17235). SHALL contain exactly one [1..1] id (CONF:17236). SHALL contain exactly one [1..1] effectiveTime (CONF:17237). SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind 2.16.840.1.113883.1.11.16926 STATIC 2010-04-21 (CONF:17238). SHALL contain exactly one [1..1] languageCode (CONF:17239). This structuredBody SHALL contain exactly one [1..1] component (CONF:17281) such that it SHALL contain exactly one [1..1] QRDA Category III Reporting Parameters Section (identifier: urn:oid:2.16.840.1.113883.10.20.27.2.2) (CONF:17282). This structuredBody SHALL contain exactly one [1..1] component (CONF:17283) such that it SHALL contain exactly one [1..1] QRDA Category III Measure Section (identifier: urn:oid:2.16.840.1.113883.10.20.27.2.1) (CONF:17301). The CDA standard requires an author with an identifier. In addition, the QRDA Category III document type requires that the author be declared as a person or a device. The document can be authored solely by a person or by a device, or the document could be authored by a combination of one or more devices and/or one or more people. SHALL contain at least one [1..*] author (CONF:18156) such that it SHALL contain exactly one [1..1] assignedAuthor (CONF:18157). This assignedAuthor SHALL contain exactly one [1..1] representedOrganization (CONF:18163). This representedOrganization SHALL contain at least one [1..*] name (CONF:18265). SHALL contain exactly one [1..1] time (CONF:18158). This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:18165). This legalAuthenticator SHALL contain exactly one [1..1] time (CONF:18167). This legalAuthenticator SHALL contain exactly one [1..1] signatureCode (CONF:18168). This signatureCode SHALL contain exactly one [1..1] @code="S" (CONF:18169). The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:18171). This serviceEvent SHALL contain exactly one [1..1] @classCode="PCPR" Care Provision (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18172). This serviceEvent SHALL contain at least one [1..*] performer (CONF:18173). Such performers SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:18174). Such performers SHALL contain exactly one [1..1] assignedEntity (CONF:18176). This assignedEntity id/@root coupled with the id/@extension can be used to represent the individual provider's National Provider Identification number (NPI). Other assignedEntity ids may be present. This assignedEntity SHALL contain exactly one [1..1] id (CONF:18177) such that it This assignedEntity SHALL contain exactly one [1..1] representedOrganization (CONF:18180). SHALL contain exactly one [1..1] typeId (CONF:18186). This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:18187). This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:18188). The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:18189). This representedOrganization SHALL contain at least one [1..*] name (CONF:18265). The authorization, if present, SHALL contain exactly one [1..1] consent (CONF:18360). The consent/id is the identifier of the consent given by the eligible provider. This consent SHALL contain exactly one [1..1] id (CONF:18361). This consent SHALL contain exactly one [1..1] code (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96 STATIC) (CONF:18363). This consent SHALL contain exactly one [1..1] statusCode (CONF:18364). This assignedEntity SHALL contain at least one [1..*] id (CONF:19474). This code SHALL contain exactly one [1..1] @code="55184-6" " Quality Reporting Document Architecture Calculated Summary Report (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19549). This code SHALL contain exactly one [1..1] @code="425691002" Consent given for electronic record sharing (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96) (CONF:19550). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14) (CONF:19551). There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:19667). This languageCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Language 2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:19669). This legalAuthenticator SHALL contain exactly one [1..1] assignedEntity (CONF:19670). The representedOrganization, if present, SHALL contain at least one [1..*] id (CONF:19672). SHALL contain exactly one [1..1] templateId (CONF:17284) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.2.1" (CONF:17285). SHALL contain at least one [1..*] entry (CONF:17906) such that it SHALL contain exactly one [1..1] Measure Reference and Results (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.1) (CONF:17907). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17563). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:17564). SHALL contain exactly one [1..1] templateId (CONF:17565) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.3" (CONF:18095). SHALL contain exactly one [1..1] code (CONF:17566). SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:17567). This value SHALL contain exactly one [1..1] @value (CONF:17568). The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:18393). This observationRange SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:18394). This code SHALL contain exactly one [1..1] @code="MSRAGG" rate aggregation (CodeSystem: ActCode 2.16.840.1.113883.5.4) (CONF:19508). SHALL contain exactly one [1..1] methodCode (CONF:19509). This methodCode SHALL contain exactly one [1..1] @code="COUNT" Count (CodeSystem: ObservationMethod 2.16.840.1.113883.5.84) (CONF:19510). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17569). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:17570). SHALL contain exactly one [1..1] code (CONF:17571). SHALL contain exactly one [1..1] value (CONF:17572). SHALL contain exactly one [1..1] templateId (CONF:18096) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.2" (CONF:18097). SHALL contain exactly one [1..1] methodCode, which SHALL be selected from ValueSet ObservationMethodAggregate 2.16.840.1.113883.1.11.20450 STATIC (CONF:18242). SHALL contain exactly one [1..1] reference (CONF:18243). This reference SHALL contain exactly one [1..1] externalObservation (CONF:18244). This externalObservation SHALL contain exactly one [1..1] id (CONF:18245). The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:18390). This observationRange SHALL contain exactly one [1..1] value (CONF:18391). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17575). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:17576). SHALL contain exactly one [1..1] code (CONF:17577). This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:17578). SHALL contain exactly one [1..1] statusCode (CONF:17579). SHALL contain exactly one [1..1] entryRelationship (CONF:17581) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" (CONF:17582). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:17583). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:17584). SHALL contain exactly one [1..1] templateId (CONF:18093) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.4" (CONF:18094). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18201). SHALL contain exactly one [1..1] reference (CONF:18204). This reference SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18205). This reference SHALL contain exactly one [1..1] externalObservation (CONF:18206). If this reference is to an eMeasure, this id equals the referenced stratification id defined in the eMeasure. This externalObservation SHALL contain exactly one [1..1] id (CONF:18207). If this Reporting Stratum references an eMeasure, and the value of externalObservation/id equals the reference stratification id defined in the eMeasure, then this value SHALL be the same as the contents of the observation/code element in the eMeasure that is defined along with the observation/id element (CONF:18259). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17615). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:17616). SHALL contain exactly one [1..1] code (CONF:17617). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet ObservationPopulationInclusion 2.16.840.1.113883.1.11.20369 DYNAMIC (CONF:17618). SHALL contain exactly one [1..1] entryRelationship (CONF:17619) such that it SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:17620). SHALL contain exactly one [1..1] @typeCode="SUBJ" (CONF:17910). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:17911). SHALL contain exactly one [1..1] templateId (CONF:17912) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.5" (CONF:17913). This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:18198). SHALL contain exactly one [1..1] statusCode (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18199). SHALL contain exactly one [1..1] reference (CONF:18239) such that it SHALL contain exactly one [1..1] externalObservation (CONF:18240). This externalObservation SHALL contain exactly one [1..1] id (CONF:18241). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14) (CONF:19555). SHALL contain exactly one [1..1] @classCode="CLUSTER" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17887). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:17888). SHALL contain exactly one [1..1] statusCode (CONF:17889). SHALL contain exactly one [1..1] reference (CONF:17890) such that it SHALL contain exactly one [1..1] @typeCode="REFR" (CONF:17891). SHALL contain exactly one [1..1] externalDocument (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:17892). This externalDocument SHALL contain exactly one [1..1] @classCode="DOC" Document (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6) (CONF:19548). SHALL contain exactly one [1..1] templateId (CONF:17908) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.1" (CONF:17909). SHALL contain exactly one [1..1] externalObservation (CONF:18354). This externalObservation SHALL contain at least one [1..*] id (CONF:18355). This externalObservation SHALL contain exactly one [1..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:18357). This code SHALL contain exactly one [1..1] @code="55185-3" measure set (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19554). This externalObservation SHALL contain exactly one [1..1] text (CONF:18358). This externalObservation SHALL contain at least one [1..*] id (CONF:18355). This id SHALL equal the id of the corresponding measure set definition within the eMeasure (CONF:18356). This externalObservation SHALL contain exactly one [1..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:18357). This code SHALL contain exactly one [1..1] @code="55185-3" measure set (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19554). This externalObservation SHALL contain exactly one [1..1] text (CONF:18358). SHALL contain at least one [1..*] component (CONF:18425) such that it SHALL contain exactly one [1..1] Measure Data (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.5) (CONF:18426). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14) (CONF:19552). This code SHALL contain exactly one [1..1] @code="55185-3" measure set (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19554). This externalDocument SHALL contain exactly one [1..1] id (CONF:18192) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.738" (CONF:18193). Note: This OID indicates that the @extension contains the version specific identifier for the eMeasure SHALL contain exactly one [1..1] @extension (CONF:21159). Note: This @extension SHALL equal the version specific identifier for eMeasure (i.e. QualityMeasureDocument/id) The code, if present, SHALL contain exactly one [1..1] @code="57024-2" Health Quality Measure Document (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19553). SHALL contain exactly one [1..1] statusCode (CONF:18100). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18101). SHALL contain exactly one [1..1] entryRelationship (CONF:18102) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18103). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:18104). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:18105). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18209). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18210). SHALL contain exactly one [1..1] templateId (CONF:18211) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.10" (CONF:18212). SHALL contain exactly one [1..1] code (CONF:18213). This code SHALL contain exactly one [1..1] @code="184102003" Patient postal code (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96 STATIC) (CONF:18214). SHALL contain exactly one [1..1] value with @xsi:type="ST" (CONF:18215). SHALL contain exactly one [1..1] statusCode (CONF:18106). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18107). SHALL contain exactly one [1..1] entryRelationship (CONF:18108) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18109). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:18110). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:18111). SHALL contain exactly one [1..1] templateId (CONF:18237) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.9" (CONF:18238). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Source of Payment Typology (PHDSC) 2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:18250). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:21155). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:21156). SHALL contain exactly one [1..1] statusCode (CONF:18112). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18113). SHALL contain exactly one [1..1] entryRelationship (CONF:18114) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18115). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:18116). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:18117). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18223). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18224). SHALL contain exactly one [1..1] templateId (CONF:18225) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.8" (CONF:18226). SHALL contain exactly one [1..1] code (CONF:18227). This code SHALL contain exactly one [1..1] @code="103579009" Race (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96) (CONF:18228). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet RaceCategory 2.16.840.1.114222.4.11.836 DYNAMIC (CONF:18229). SHALL contain exactly one [1..1] statusCode (CONF:18118). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18119). SHALL contain exactly one [1..1] entryRelationship (CONF:18120) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18121). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:18122). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:18123). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18216). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18217). SHALL contain exactly one [1..1] code (CONF:18220). This code SHALL contain exactly one [1..1] @code="364699009" Ethnic Group (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96) (CONF:18221). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet EthnicityGroup 2.16.840.1.114222.4.11.837 DYNAMIC (CONF:18222). SHALL contain exactly one [1..1] templateId (CONF:18218) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.7" (CONF:18219). SHALL contain exactly one [1..1] statusCode (CONF:18124). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18125). SHALL contain exactly one [1..1] entryRelationship (CONF:18126) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18127). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:18128). SHALL contain exactly one [1..1] Aggregate Count (identifier: urn:oid:2.16.840.1.113883.10.20.27.3.3) (CONF:18129). SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18230). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18231). SHALL contain exactly one [1..1] templateId (CONF:18232) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.6" (CONF:18233). SHALL contain exactly one [1..1] code (CONF:18234). This code SHALL contain exactly one [1..1] @code="184100006" Patient sex (CodeSystem: SNOMED CT 2.16.840.1.113883.6.96 STATIC) (CONF:18235). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Administrative Gender (HL7 V3) 2.16.840.1.113883.1.11.1 DYNAMIC (CONF:18236). SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18312). SHALL contain exactly one [1..1] effectiveTime (CONF:18314). SHALL contain exactly one [1..1] templateId (CONF:18369) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.11" (CONF:18370). SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:21154). SHALL contain exactly one [1..1] templateId (CONF:18323) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.2.2" (CONF:18324). SHALL contain exactly one [1..1] entry (CONF:18325) such that it SHALL contain exactly one [1..1] @typeCode="DRIV" Is derived from (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:18427). SHALL contain exactly one [1..1] Reporting Parameters Act (identifier: urn:oid:2.16.840.1.113883.10.20.17.3.8) (CONF:18428). SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18395). SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18396). SHALL contain exactly one [1..1] code (CONF:18397). This code SHALL contain exactly one [1..1] @code="72510-1" Performance Rate (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:18398). SHALL contain exactly one [1..1] value with @xsi:type="REAL" (CONF:18399). The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:18401). This observationRange SHALL contain exactly one [1..1] value with @xsi:type="REAL" (CONF:18402). SHALL contain exactly one [1..1] statusCode (CONF:18421). This statusCode SHALL contain exactly one [1..1] @code="completed" completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18422). SHALL contain exactly one [1..1] templateId (CONF:19649) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.14" (CONF:19650). The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002) (CONF:19652). The reference, if present, SHALL contain exactly one [1..1] externalObservation (CONF:19653). This externalObservation SHALL contain exactly one [1..1] @classCode (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6) (CONF:19654). The externalObservationID contains the ID of the numerator in the referenced eMeasure. This externalObservation SHALL contain exactly one [1..1] id (CONF:19655). This id SHALL contain exactly one [1..1] @root (CONF:19656). This externalObservation SHALL contain exactly one [1..1] code (CONF:19657). This code SHALL contain exactly one [1..1] @code="NUMER" Numerator (CodeSystem: ObservationValue 2.16.840.1.113883.5.1063) (CONF:19658). SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:18411). SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:18412). SHALL contain exactly one [1..1] code (CONF:18413). This code SHALL contain exactly one [1..1] @code="72509-3" Reporting Rate (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:18414). SHALL contain exactly one [1..1] value with @xsi:type="REAL" (CONF:18415). The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:18417). This observationRange SHALL contain exactly one [1..1] value with @xsi:type="REAL" (CONF:18418). SHALL contain exactly one [1..1] statusCode (CONF:18419). This statusCode SHALL contain exactly one [1..1] @code="completed" completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:18420). SHALL contain exactly one [1..1] templateId (CONF:21157) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.27.3.15" (CONF:21158). This effectiveTime SHOULD contain zero or one [0..1] high (CONF:26935). This externalDocument SHOULD contain zero or one [0..1] text (CONF:12997). This representedCustodianOrganization SHOULD contain zero or one [0..1] name (CONF:18166). SHOULD contain zero or one [0..1] versionNumber (CONF:18260). This representedOrganization SHOULD contain zero or more [0..*] name (CONF:19659). The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:19673). SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind 2.16.840.1.113883.1.11.16926 STATIC 2010-04-21 (CONF:X). SHOULD contain zero or one [0..1] value (CONF:17580). SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet ObservationPopulationInclusion 2.16.840.1.113883.1.11.20369 DYNAMIC (CONF:X). If this reference is to an eMeasure, this id SHALL equal the id defined in the corresponding eMeasure population criteria section (CONF:18258). In the case that an eMeasure is part of a measure set or group, the following reference is used to identify that set or group. If the eMeasure is not part of a measure set, the following reference element should not be defined. SHOULD contain exactly one [1..1] reference (CONF:18353) such that it SHALL contain exactly one [1..1] externalObservation (CONF:18354). This externalObservation SHALL contain at least one [1..*] id (CONF:18355). This externalObservation SHALL contain exactly one [1..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:18357). This code SHALL contain exactly one [1..1] @code="55185-3" measure set (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:19554). This externalObservation SHALL contain exactly one [1..1] text (CONF:18358). This externalDocument SHOULD contain zero or one [0..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:17896). This text is the title and optionally a brief description of the Quality Measure. This externalDocument SHOULD contain zero or one [0..1] text (CONF:17897). If this reference is to an eMeasure, this setId SHALL equal the QualityMeasureDocument/setId which is the eMeasure version neutral id (CONF:17900). If this reference is to an eMeasure this version number SHALL equal the sequential eMeasure Version number (CONF:17902). This text SHOULD be the title of the corresponding measure set (CONF:18359).