Physician Quality Reporting System (PQRS) Program Year 2016

Transcription

1 Centers for Medicare & Medicaid Services CMS expedited Life Cycle (XLC) Physician Quality Reporting System (PQRS) Program Year 2016 Qualified Clinical Registry (QCDR) Extensible Markup Language (XML) Specification and Error Messages Version: /15/2016

2 Introduction 1. Introduction The 2016 Qualified Clinical Registry (QCDR) Extensible Markup Language (XML) Specification and Error Messages are provided in this document. Click QCDR XML Specification to jump to the QCDR XML Specification content. Click QCDR XML Error Messages to jump to the QCDR XML Error Messages content. Please note, this Portable Document Format (PDF) is not Section 508 compliant. For a Section 508 compliant form of this information, please refer to the online version of this content. CMS Sensitive Information 12/15/2016 Page 1

3 2. The following table provides the : <?xml version="1.0" encoding="utf-8"?> A header is required at the beginning of each XML file. <submission> Type Describes the setting for which data is being submitted. <?xml version="1.0" encoding="utf-8"?> <submission type="pqrs-qcdr" version="3.0" xmlns:xsi=" N/A PQRS-QCDR Character 20 Yes Version The version of the file layout..org/2001/xmlschemainstance" xsi:nonamespaceschem alocation="pqrs_qcd R.xsd"> N/A 3.0 Character 20 Yes <file-audit-data> Opening tag for file audit data. This tag and the entire <file-audit-data> section are required in the XML document. This tag contains no data. <create-date> Sub-element of the file audit data element. The month, day, and year the XML file was created. <create-date> </create-date> N/A MM-DD-YYYY (Must be a valid date) Date 10 Yes 1 The Field Size for Number Type is defined as (p,s) where p - precision, s - scale. If scale is 0, no decimal places allowed. CMS Sensitive Information 12/15/2016 Page 2

4 <create-time> Sub-element of the file audit data element. The hour and minutes representing the time the file was created. <createtime>23:01</createtime> N/A HH:MM (Military format with or without colon) Time 5 Yes <create-by> Sub-element of the file audit data element. The entity that created the file. <file-version> Sub-element of the file audit data element. The version of the file being submitted. <file-number> Sub-element of the file audit data element. The number of the file. <number-of-files> Sub-element of the File Audit data element. Total number of files. <create-by>qcdr- A</create-by> <file-version>2.0</fileversion> <file-number>1</filenumber> <number-offiles>1</number-offiles> N/A Character 50 Yes N/A Character 20 Yes N/A Number (5,0) Yes N/A Number (5,0) Yes <cms-program-name> Sub-element of the file audit. This identifies the CMS Program Name for which this data is being submitted. For QCDR, the CMS Program Name is either PQRS_INDIVIDUAL or PQRS_GROUP. <cms-program-name> PQRS_INDIVIDUAL</cm s-program-name> CMS Program Name PQRS_ INDIVIDUAL PQRS_GROUP Character 20 Yes </file-audit-data> Closing tag for file audit data. This tag and the entire <file-audit-data> section are required in the XML document. <qcdr> Sub-element of the submission element. Opening tag for the QCDR data file. This tag is required in the XML document; however, it contains no data. CMS Sensitive Information 12/15/2016 Page 3

5 <qcdr-name> Sub-element of the QCDR element. The QCDR name. Note: The exact same name as submitted to CMS will be required. <qcdr-name>model QCDR</qcdr-name> Qualified Clinical Registry Name Qualified Clinical Registry Name Character 256 Yes <qcdr-id> Sub-element of the QCDR element. Used to identify the QCDR. Use QCDR corporate TAX Identification Number (TIN). <qcdrid> </qcdr-id> Qualified Clinical Registry ID Qualified Clinical Registry s 9 digit TAX Identification Number Character 9 Yes <vendor-unique-id> Sub-element of the QCDR Element. Unique identifier assigned to each QCDR by CMS during the selfnomination/qualification process (this identifier is not the TIN). <vendor-uniqueid>a1234</vendorunique-id> Vendor Unique ID No spaces allowed Space may be replaced with _ (Underscore) No special characters Character 64 Yes Upper Case letters and Numbers </qcdr> Closing tag for QCDR. This tag is required in the XML document; however, it contains no data. <provider> Sub-element of the submission element. Opening tag for provider. This tag is required in the XML document; however, it contains no data. This element repeats if there are multiple providers. CMS Sensitive Information 12/15/2016 Page 4

6 <npi> Sub-element of the provider element. National Provider Identifier (NPI) as assigned by CMS. <npi> </npi> Note: When the npi value is null use <npi xsi:nil= true /> for this National Provider Identifier (NPI) 10 digit National Provider Identifier Character 10 Yes Value is required for PQRS_ INDIVIDUAL Value must be null for PQRS_ GROUP <tin> Sub-element of the provider element. The tax identification number for individual NPI. <tin> </tin> Tax Identification Number (TIN) 9 digit Tax Identification Number Character 9 Yes < -address> Sub-element of the provider element. The address of the provider for whom the data is submitted. <waiver-signed> Sub-element of the provider element. A participation waiver indicates the eligible professional has given the QCDR permission to submit data on their behalf. < address>johndoe@abc.c om</ -address> Note: When the address value is null use < -address <waiversigned>y</waiversigned> Address Character 100 Value Waiver Signed Y,y Character 1 Yes Sub-element of the provider element. The month, day, and year of the first service encounter of the submission period ("From" date). <encounter-fromdate> <encounter-from- date> </encounter-fromdate> N/A MM-DD-YYYY (Must be a valid date) Date 10 Yes CMS Sensitive Information 12/15/2016 Page 5

7 <encounter-to-date> Sub-element of the provider element. The month, day, and year of the last service encounter of the submission period ("To" date). <encounter-to-date> </encounter-todate> N/A MM-DD-YYYY (Must be a valid date) Date 10 Yes <measure> Sub-element of the provider data element. Opening tag for measure. This tag is required in the XML document; however, it contains no data. This element repeats if there are multiple measures. CMS Sensitive Information 12/15/2016 Page 6

8 <measure-number> Sub-element of the measure element. Unique PQRS or Non- PQRS measure number for a measure For example: a. PQRS Measure: Diabetes: Hemoglobin A1c Poor Control measure-number is 001. <measurenumber>001</measurenumber> Measure Number Refer to Measures Specification Note: The Value for measurenumber is case insensitive. Character 20 Yes b. Non-PQRS Measure: "Wound Related Quality of Life" measurenumber is "CDR 12" Measures Groups are not to be submitted unless it is as an individual measure. Note: Only Program Year 2016 approved PQRS measures and non-pqrs measures will be accepted. CMS Sensitive Information 12/15/2016 Page 7

9 Sub-element of the measure element. The measure reporting option will capture which version of the measure specification are utilizing. Measure reporting options used by Eligible Professionals are: a) CLAIMS-REGISTRY - Use PQRS Measure Specifications Manual for Claims and Registry Reporting of Individual Measures. <measure-reportingoption> <measure-reporting- option>claims- REGISTRY</measurereporting-option> Measure Reporting Option CLAIMS- REGISTRY MEASURE- GROUP WEB- INTERFACE EHR QCDR Character 20 Yes b) MEASURE-GROUP - Use PQRS Measures Groups Specifications Manual, for Measures group only measures are the measures within a measures group that do not have a correlating individual measure within the individual measures. CMS Sensitive Information 12/15/2016 Page 8

10 <proportionmeasure-detail> c) WEB-INTERFACE - Use GPRO/ACO Web Interface Narrative Measure Specifications for these GPRO/ACO web interface measures. Please note that GPRO s and ACOs who have select the web interface reporting option must report through the web interface and not a QCDR. While QCDRs are able to support the GPRO Web Interface Measures, they are NOT able to submit on behalf of a GPRO or ACO or the 2016 Program Year. d) EHR - Use Electronic Clinical Quality Measures (ecqms) Specifications for the EHR measures. e) QCDR - Use non-pqrs Measure Specifications for non-pqrs Measures. Sub-element of the measure element. This tag is required in the XML document; however, it contains no data. This element repeats if measure has multiple performance rates. Note: if measure scoring is Proportion. CMS Sensitive Information 12/15/2016 Page 9

11 Sub-element of the proportion measure detail. Measure stratification number identifies when a measure requires multiple performance rates to be submitted as defined in the measure specification. <measure-stratanum> <measure-stratanum>1</measure-stratanum> Measure Strata Number 1-99 Number (2,0) Yes Note: If multiple performance rates are not defined for the measure then the value must be 1. Sub-element of the proportion measure detail. The set of patients to be evaluated by the measure. <initial-patientpopulation> <initial-patientpopulation>110</initialpatient-population> Note: When the initialpatient-population value is null use < initialpatient-population xsi:nil= true /> Initial Patient Population Number (10,0) Value Sub-element of the proportion measure detail. Number of eligible instances (Reporting Denominator) for the PQRS/QCDR measure. <reportingdenominator> <reportingdenominator>100</report ing-denominator> Eligible instances for the PQRS/non- PQRS Measure Number (10,0) Yes Note: Reporting Denominator =(Initial Patient-Population)-( denominator-exclusions) Sub-element of the proportion measure detail. Number of instances of quality service performed (Performance Numerator). <performancenumerator> <performancenumerator>80 </performancenumerator> Number Instances of Quality Service Performed Number (10,0) Yes CMS Sensitive Information 12/15/2016 Page 10

12 Sub-element of the proportion measure detail. Number of instances that are removed from the denominator of the performance rate only if the numerator criteria are not met. <denominatorexception> <denominatorexception>10 </denominatorexception> Note: When the denominator-exception value is null use <denominator-exception xsi:nil= true /> Denominator Exception Number (10,0) Value Sub-element of the proportion measure detail. Number of instances which do not meet the performance criteria, even though reporting occurred. <performance-notmet-instances> <performance-not-metinstances>10</performa nce-not-met-instances> Note: When the performance-not-metinstances value is null use <performance-notmet-instances xsi:nil= true /> Performance Not Met Instances Number (10,0) Value Sub-element of the proportion measure detail. Number of instances removed from the measure population and denominator before determining if the numerator criteria are met. <denominatorexclusions> <denominatorexclusions>10 </denominatorexclusions> Note: When the denominator-exclusions value is null use <denominator-exclusions xsi:nil= true /> Denominator Exclusions Number (10,0) Value CMS Sensitive Information 12/15/2016 Page 11

13 <reporting-rate> Sub-element of the proportion measure detail Percentage of reporting. Reporting Rate = Reporting Numerator / Reporting Denominator. Note: Reporting Numerator = <performance-numerator> +<denominator-exception> +<performance-not-metinstances> <reportingrate> </reporting -rate> Note: When the reporting-rate value is null use <reporting-rate xsi:nil= true /> for this Reporting Rate Number (8,4) Value <performance-rate> Sub-element of the proportion measure detail Percentage of performance <performancerate> </performa nce-rate> Performance Rate Number (8,4) Value Performance Rate = Performance Numerator/ (Reporting Numerator Denominator Exception>). Note: When the performance-rate value is null use <performancerate xsi:nil= true /> for this <ratio-measuredetail> Sub-element of the proportion-measure-detail element. This tag is optional for ratio-measure-detail in the XML document; however it contains no data. <ratio-denominator> Sub element of ratiomeasure-detail. Ratio denominator. For measures that do not fit the standard proportion measures format, i.e. larger numerator than denominator. This field will allow the QCDR to submit ratio denominator. <ratiodenominator>5.0000</rat io-denominator> Note: When the ratiodenominator is null use <ratio-denominator Ratio Denominator Number (12,4) Value CMS Sensitive Information 12/15/2016 Page 12

14 <ratio-numerator> Sub element of ratiomeasure-detail. Ratio numerator. For measures that do not fit the standard proportion measures format, i.e. larger numerator than denominator. This field will allow the QCDR to submit ratio numerator. <rationumerator> </rati o-numerator> Note: When the rationumerator is null use < ratio-numerator Ratio Numerator Number (12,4) Value <ratio-comparison> Sub element of ratiomeasure-detail. Ratio comparison of rationumerator / ratiodenominator. <ratiocomparison>3.8000</rati o-comparison> Note: When the ratiocomparison is null use < ratio-comparison Ratio Comparison of rationumerator / ratiodenominator Number (12,4) Value </ratio-measuredetail> <risk-adjustedmeasure-detail> Closing tag for ratiomeasure detail. This tag is required in the XML document; however, it contains no data. Sub element of the proportion-measure-detail element. This tag is optional for risk adjusted measure in the XML document; however it contains no data. Note: This tag cannot be used if the measure is not risk adjusted measure. CMS Sensitive Information 12/15/2016 Page 13

15 <population-ref-rate> Sub element of the riskadjusted-measure-detail. Population reference rate associated with the measure population. Note: When the population-ref-rate is null use population-ref-rate Population Reference Rate <population-refrate>8.3000</populationref-rate> Number (15,4) Value <risk-standardizedrate> Sub element of the riskadjusted-measure-detail. Risk adjusted and smoothed performance rate. <risk-standardizedrate>7.0000</riskstandardized-rate> Note: When the riskstandardized-rate is null use < risk-standardizedrate xsi:nil="true"/> for this Risk Standardized Performance Rate Number (15,4) Value <lower-ci> Sub element of the riskadjusted-measure-detail. Lower Bound of the 95% Confidence Interval for the Risk Standardized Rate. Note: When the lower-ci is null use <lower-ci Lower Confidence Interval <lower-ci>6.9213</lowerci> Number (15,4) Value <upper-ci> Sub element of the riskadjusted-measure-detail. Upper Bound of the 95% Confidence Interval for the Risk Standardized Rate. Note: When the upper-ci is null use <upper-ci Upper Bound of the 95% Confidence Interval <upperci> </upper-ci> Number (15,4) Value CMS Sensitive Information 12/15/2016 Page 14

16 <performanceassessment> Sub element of the riskadjusted-measure-detail. Performance assessment based on outlier status determined by the 95% confidence Interval. <performanceassessment>average</p erformanceassessment> Note: When the performance-assessment is null use <performanceassessment Performance Assessment BELOW AVERAGE AVERAGE ABOVE AVERAGE Character 15 Value <risk-adjustmentdescription> Sub element of the riskadjusted-measure-detail. Description of how measure has been risk adjusted. <risk-adjustmentdescription>remove patients with X</riskadjustment-description> Risk Adjustment Description N/A Character 300 Value Note: When the riskadjustment-description is null use <riskadjustment-description <risk-reporting-rate> Sub-element of riskadjusted-measure-detail. Reporting rate for risk adjusted measures. <risk-reportingrate> </riskreporting-rate> Note: When the riskreporting-rate is null use <risk-reporting-rate Risk Reporting Rate Number (8,4) Value </risk-adjustedmeasure-detail> Closing tag for risk-adjustedmeasure-detail. This tag is optional for risk adjusted measures in the XML document; however it contains no data. CMS Sensitive Information 12/15/2016 Page 15

17 </proportion - measure-detail> Closing tag for proportion measure detail. This tag is required in the XML document; however, it contains no data. <continuousmeasure-detail> Sub-element of the measure element. This tag is required in the XML document; however, it contains no data. Note: Require if the measure scoring is continuous variable Sub-element of the continuous-measure-detail. Measure stratification number identifies when a measure requires multiple performance rates to be submitted as defined in the measure specification. <measure-stratanum> <measure-stratanum>1</measure-stratanum> Measure Strata Number 1-99 Number (2,0) Yes Note: If multiple performance rates are not defined for the measure then the value must be 1. <cont-reporting-rate> Sub-element of the continuous-measure-detail. Percentage of reporting. <cont-reportingrate> </contreporting-rate> Continuous Reporting Rate Number (8,4) Value Note: When the reporting-rate value is null use <cont-reportingrate xsi:nil= true /> for this CMS Sensitive Information 12/15/2016 Page 16

18 <benchmark-met> Sub-element of continuousmeasure-detail Documenting whether the measure is meeting the established benchmark. <benchmarkmet>y</benchmarkmet> Benchmark Met Y,y N,n Character 1 Yes <ipp> Sub-element of the continuous measure detail. Initial Patient Population is the initial patient population information identified by the measure criteria. <ipp>90</ipp> Initial Patient population (IPP) Number (10,0) Yes <msrpopl> Sub-element of the continuous measure detail. The Measure Population field would be utilized by measures that have denominator exclusions. This field would identify the measure population after removing the exclusions from the initial population. <msrpopl>88</msrpopl> Measure population(ms RPOPL) Number (10,0) Yes <msrpoplex> Sub-element of the continuous measure detail. The Measure Exception field would identify the exceptions removed from the measure population. <msrpoplex>2</msrpopl ex> Note: When the msrpoplex value is null use <msrpoplex xsi:nil= true /> for this Measure Exception(MS RPOPLEX) Number (10,0) Value <measure-score> Sub-element of the continuous measure detail. <measure-score valuetype="time" valueunits="hour" observationmethod="mean" Numerator measure score Refer to PQRS/non-PQRS Measure Specifications Character 20 Yes CMS Sensitive Information 12/15/2016 Page 17

19 value-type Value Type as defined in the measure specifications. >3</measure-score> Value Type REAL INT Character 20 Yes TIME TS PQ MO valueunits Value Units as defined in the measure specifications. Value Units COUNT PERCENT Character 20 Yes DATE HOUR MIN observatio n-method Observation Method used to calculate the value. Observation Method SUM AVERAGE Character 20 Yes MEDIAN COUNTMAX MEAN MINMODE <ratio-measuredetail> Sub-element of the continuous-measure-detail. This tag is optional for ratiomeasure-detail in the XML document; however it contains no data. CMS Sensitive Information 12/15/2016 Page 18

20 <ratio-denominator> Sub element of ratiomeasure-detail. For measures that do not fit the standard proportion measures format, i.e. larger numerator than denominator. This field will allow the QCDR to submit ratio denominator. <ratiodenominator>5.0000</rat io-denominator> Note: When the ratiodenominator is null use <ratio-denominator Ratio Denominator Number (12,4) Value <ratio-numerator> Sub element of ratiomeasure-detail. For measures that do not fit the standard proportion measures format, i.e. larger numerator than denominator. This field will allow the QCDR to submit ratio numerator. <rationumerator> </rati o-numerator> Note: When the rationumerator- is null use <ratio-numerator Ratio Numerator Number (12,4) Value <ratio-comparison> Sub element of <ratiomeasure detail>. Ratio comparison of ratio numerator / ratio denominator. <ratiocomparison>3.8000</rati o-comparison> Note: When the ratiocomparison is null use <ratio-comparison Ratio Comparison of ratio numerator / ratio denominator Number (12,4) Value </ratio-measuredetail> Closing tag for ratiomeasure detail. This tag is required in the XML document; however, it contains no data. CMS Sensitive Information 12/15/2016 Page 19

21 <risk-adjustedmeasure-detail> Sub element of the continuous-measure-detail. This tag is optional for risk adjusted measures in the XML document; however it contains no data. Note: This tag cannot be used if the measure is not risk adjusted measure. <population-ref-rate> Sub element of the riskadjusted-measure-detail. Population reference rate associated with the measure population. Note: When the population-ref-rate is null use population-ref-rate Population Reference Rate <population-refrate>5.0000</populationref-rate> Number (15,4) Value <risk-standardizedrate> Sub element of the riskadjusted-measure-detail. Risk adjusted and smoothed performance rate. <risk-standardizedrate>7.0000</riskstandardized-rate> Note: When the riskstandardized-rate is null use < risk-standardizedrate xsi:nil="true"/> for this Risk Standardized Performance Rate Number (15,4) Value <lower-ci> Sub element of the riskadjusted-measure-detail. Lower Bound of the 95% Confidence Interval for the Risk Standardized Rate. Note: When the lower-ci is null use <lower-ci Lower Confidence Interval <lower-ci>6.9213</lowerci> Number (15,4) Value CMS Sensitive Information 12/15/2016 Page 20

22 <upper-ci> Sub element of the riskadjusted-measure-detail. Upper Bound of the 95% Confidence Interval for the Risk Standardized Rate. Note: When the upper-ci is null use <upper-ci Upper Bound of the 95% Confidence Interval <upperci> </upper-ci> Number (15,4) Value <performanceassessment> Sub element of the riskadjusted-measure-detail. Performance assessment based on outlier status determined by the 95% confidence Interval. <performanceassessment>average</p erformanceassessment> Note: When the performance-assessment is null use <performanceassessment tag Performance Assessment BELOW AVERAGE AVERAGE ABOVE AVERAGE Character 15 Value <risk-adjustmentdescription> Sub element of the riskadjusted-measure-detail. Description of how measure has been risk adjusted. <risk-adjustmentdescription>remove patients with X</riskadjustment-description> Risk Adjustment Description ANY TEXT Character 300 Value Note: When the riskadjustment-description is null use <riskadjustment-description <risk-reporting-rate> Sub-element of riskadjusted-measure-detail. Reporting rate for risk adjusted measures. <risk-reportingrate> </riskreporting-rate> Note: When the riskreporting-rate is null use <risk-reporting-rate Risk Reporting Rate Number (8,4) Value CMS Sensitive Information 12/15/2016 Page 21

23 </risk-adjustedmeasure-detail> Closing tag for risk-adjustedmeasure-detail. This tag is optional for risk adjusted measures in the XML document; however it contains no data. </continuousmeasure-detail> Closing tag for continuous measure detail. This tag is required in the XML document; however, it contains no data. </measure> Closing tag for measure. This tag is required in the XML document; however, it contains no data. </provider> Closing tag for provider. This tag is required in the XML document; however, it contains no data. </submission> Closing tag for submission. This tag is required in the XML document; however, it contains no data. CMS Sensitive Information 12/15/2016 Page 22

24 2016 QCDR XML Error Messages QCDR XML Error Messages The following table provides the 2016 QCDR XML Error Messages: Message Number Element Name XML Tag/Attribute Condition Message Description SPEC_00001 Invalid XML File INVALID XML FILE The Element Tag/Attribute is invalid. Invalid XML File (SPEC_00001)..CMS Sensitive Information 12/15/2016 Page 23

25 2016 QCDR XML Error Messages Message Number Element Name XML Tag/Attribute Condition Message Description SPEC_00002 Submission File Audit <submission> <file-audit-data> The Element Name tag is incorrect. [ Element Name] [XML Tag] tag is required (SPEC_00002). Create Date <create-date> Create Time <create-time> Create By <create-by> File Version <file-version> File Number <file-number> Number of Files <number-of-files> CMS Program Name <cms-program-name> QCDR <qcdr> QCDR Name <qcdr-name> QCDR ID <qcdr-id> Vendor Unique ID <vendor-unique-id> Provider <provider> NPI <npi> TIN <tin> Address < -address> Waiver Signed <waiver-signed> Encounter From Date <encounter-from-date> Encounter To Date <encounter-to-date> Measure <measure> Measure Number <measure-number> Measure Reporting Option <measure-reporting-option> Proportion Measure Detail or Continuous Measure Detail <proportion-measure-detail> or <continuous-measure-detail> Measure Stratification Number <measure-strata-num> Initial Patient Population <initial-patient-population> Reporting Denominator <reporting-denominator> Performance Numerator <performance-numerator>.cms Sensitive Information 12/15/2016 Page 24

26 2016 QCDR XML Error Messages Message Number Element Name XML Tag/Attribute Condition Message Description SPEC_00002 Denominator Exception Performance Not Met Instances <denominator-exception> <performance-not-met-instances> [ Element Name] [XML Tag] tag is required (SPEC_00002). Denominator Exclusions <denominator-exclusions> Reporting Rate <reporting-rate> Performance Rate <performance-rate> Ratio Measure Detail <ratio-measure-detail> Ratio Denominator <ratio-denominator> Ratio Numerator <ratio-numerator> Ratio Comparison <ratio-comparison> Risk Adjusted Measure Detail <risk-adjusted-measure-detail> Population Reference Rate <population-ref-rate> Risk Standardized Rate <risk-standardized-rate> Lower Confidence Interval <lower-ci> Upper Confidence Interval <upper-ci> Performance Assessment <performance-assessment> Risk Adjustment Description <risk-adjustment-description> Risk Reporting Rate <risk-reporting-rate> Continuous Reporting Rate <cont-reporting-rate> Benchmark Met <benchmark-met> Initial Patient Population <ipp> Measure Population <msrpopl> Measure Population Exception <msrpoplex> Measure Score <measure-score> SPEC_00003 Submission Measure Score version value-type The Element Name attribute is incorrect. [ Element Name] tag, attribute [XML Attribute] is required (SPEC_00003). Measure Score Measure Score value-units observation-method e.g., Measure Score tag, attribute value-type is required (SPEC_00003)..CMS Sensitive Information 12/15/2016 Page 25

27 2016 QCDR XML Error Messages Message Number Element Name XML Tag/Attribute Condition Message Description SPEC_00004 Create Date Create Time Create By File Version File Number Number of Files QCDR Name QCDR ID <create-date> <create-time> <create-by> <file-version> <file-number> <number-of-files> <qcdr-name> <qcdr-id> The Element Name value is invalid. Invalid values include: Null Space Format is invalid Incorrect type Incorrect length [ Element Name] [XML Tag] is not an allowable value (SPEC_00004). Vendor Unique ID <vendor-unique-id> NPI <npi> TIN <tin> Address < -address> Waiver Signed <waiver-signed> Encounter From Date <encounter-from-date> Encounter To Date <encounter-to-date> Measure Number <measure-number> Measure Reporting Option <measure-reporting-option> Measure Stratification Number <measure-strata-num> Initial Patient Population <initial-patient-population> Reporting Denominator <reporting-denominator> Performance Numerator <performance-numerator> Denominator Exception <denominator-exception> Performance Not Met Instances <performance-not-met-instances> Denominator Exclusions <denominator-exclusions> Reporting Rate <reporting-rate> Performance Rate <performance-rate> Ratio Denominator <ratio-denominator> Ratio Numerator <Ratio-numerator> Ratio Comparison <ratio-comparison> Population Reference Rate <population-ref-rate>.cms Sensitive Information 12/15/2016 Page 26

28 2016 QCDR XML Error Messages Message Number Element Name XML Tag/Attribute Condition Message Description SPEC_00004 Risk Standardized Rate <risk-standardized-rate> Lower Confidence Interval <lower-ci> Upper Confidence Interval <upper-ci> CMS Program Name <cms-program-name> Performance Assessment <performance-assessment> Risk Adjustment Description <risk-adjustment-description> Risk Reporting Rate <risk-reporting-rate> Continuous Reporting Rate <cont-reporting-rate> Benchmark Met <benchmark-met> Initial Patient Population <ipp> Measure Population <msrpopl> Measure Exception <msrpoplex> SPEC_00005 Submission Measure Score Measure Score Measure Score version value-type value-units observation-method The Element attribute is invalid. Null Space Format is invalid [ Element Name] tag, attribute [XML Attribute] is not an allowable value (SPEC_00005). Incorrect type Incorrect length e.g., Measure Score tag, attribute value-type is not an allowable value (SPEC_00005)..CMS Sensitive Information 12/15/2016 Page 27

29 Revision History Revision History Version Date Description /29/2016 Initial version for Program Year /15/2016 Updated for December 2016 release CMS Sensitive Information 12/15/2016 Page 28