{ "name": "USCDI v3.1", "mnemonic": "USCDI_V31", "description": "USCDI 3", "version": null, "authorityName": "USCDI", "model": { "name": "Patient Clinical Model 1.0", "mnemonic": "PAT_CLINICAL_V1", "version": 1 }, "source": { "name": "PIQI Alliance", "mnemonic": "PIQI.ALLIANCE" }, "criteria": [ { "sequence": 1, "description": "", "entity": "ALG_REACT", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "allergy reaction is SNOMED-CT", "failureNameOverride": "allergy reaction is not SNOMED-CT", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 2, "description": "", "entity": "ALG_SUB", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "allergy substance is RxNorm or SNOMED-CT", "failureNameOverride": "allergy substance is not RxNorm or SNOMED-CT", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT,NLM_RXN", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 3, "description": null, "entity": "CAREPLAN_NARRATIVE", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "Care plan narrative is populated", "failureNameOverride": "care plan narrative is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 4, "description": "", "entity": "PRACTITIONER_IDENTIFIER", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "practitioner identifier is populated", "failureNameOverride": "practitioner identifier is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 5, "description": "", "entity": "PRACTITIONER_NAME", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "practioner name is populated", "failureNameOverride": "practitoner name is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 6, "description": null, "entity": "PRACTITIONER_ROLE", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "practitioner role is populated", "failureNameOverride": "practitioner role not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 7, "description": null, "entity": "PRACTITIONER_ADDRESS", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "practitioner location is populated", "failureNameOverride": "practitioner location not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 8, "description": null, "entity": "PRACTITIONER_TELECOM", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "practitioner telecom is populated", "failureNameOverride": "practitioner telecom not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 9, "description": "", "entity": "DOC_TYPE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "document type is in LOINC", "failureNameOverride": "document type is not in LOINC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "REGEN_LOINC", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 10, "description": "", "entity": "DOC_HAS_ATTACHMENT", "samMnemonic": "ATTRIBUTE_INDICATOR_IS_TRUE", "samNameOverride": "document has attachment", "failureNameOverride": "document does not have attachment", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 11, "description": "", "entity": "DOC_EFFDATE", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "document date is past date", "failureNameOverride": "document date is not past date", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 12, "description": "", "entity": "LAB_TEST", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "lab test is LOINC", "failureNameOverride": "lab test is not LOINC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "REGEN_LOINC", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 13, "description": "", "entity": "LAB_RESVALUE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "lab qualitative result is SNOMED-CT", "failureNameOverride": "lab qualitative result is not SNOMED-CT", "conditionalSam": "OBSERVATIONVALUE_ISQUALITATIVE", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [ { "samParameterMnemonic": "VALID_ATTRIBUTE_LIST", "parameterValue": "CD,CE,CWE", "parameterValueTypeName": "Simple List (CSV)", "parameterName": "Valid Attribute List" } ] }, { "sequence": 14, "description": "", "entity": "LAB_RESUOM", "samMnemonic": "ATTR_INEXTERNALLIST", "samNameOverride": "lab result unit is UCUM", "failureNameOverride": "lab result unit is not UCUM", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "EXTERNAL_LIST_MNEMONIC", "parameterValue": "UCUM", "parameterValueTypeName": "Content Set", "parameterName": "External List Mnemonic" } ], "conditionalSamParameters": [] }, { "sequence": 15, "description": "", "entity": "LAB_SPECTYPE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "lab specimen type is SNOMED-CT", "failureNameOverride": "lab specimen type is not SNOMED-CT", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 16, "description": "", "entity": "LAB_PERFDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "lab test performed date is valid", "failureNameOverride": "lab test performed date is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 17, "description": "", "entity": "LAB_RSTAT", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "lab result status is populated", "failureNameOverride": "lab result status is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 18, "description": "", "entity": "CND_COND", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "condition is SNOMED-CT or ICD10CM", "failureNameOverride": "condition is not SNOMED-CT or ICD10CM", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT,WHO_ICD10CM_FULL", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 19, "description": "", "entity": "CND_ONDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "condition onset date is valid", "failureNameOverride": "condition onset date is invalid", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 20, "description": "", "entity": "CND_RESDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "condition resolution date is valid", "failureNameOverride": "condition resolution date is invalid", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 21, "description": "", "entity": "CND_CLINICALSTATUS", "samMnemonic": "ATTR_INLIST", "samNameOverride": "condition clinical status is valid", "failureNameOverride": "condition clinical status is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "LIST_CSV", "parameterValue": "active,recurrence,relapse,inactive,remission,resolved", "parameterValueTypeName": "Simple List (CSV)", "parameterName": "List CSV" } ], "conditionalSamParameters": [] }, { "sequence": 22, "description": null, "entity": "CND_VERIFICATIONSTATUS", "samMnemonic": "ATTR_INLIST", "samNameOverride": "condition verification status is valid", "failureNameOverride": "condition verification status invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "LIST_CSV", "parameterValue": "unconfirmed,provisional,differential,confirmed,refuted,entered-in-error,entered in error", "parameterValueTypeName": "Simple List (CSV)", "parameterName": "List CSV" } ], "conditionalSamParameters": [] }, { "sequence": 23, "description": "", "entity": "DEM_PATID", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient identifier is populated", "failureNameOverride": "patient identifier not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 24, "description": null, "entity": "DEM_FIRSTNAME", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient first name is populated", "failureNameOverride": "patient first name is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 25, "description": null, "entity": "DEM_LASTNAME", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient last name is populated", "failureNameOverride": "patient last name is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 26, "description": null, "entity": "DEM_CURRENTADDRESS", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient address is populated", "failureNameOverride": "patient address is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 27, "description": null, "entity": "DEM_TELECOM", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient telecom is populated", "failureNameOverride": "patient telecom is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 28, "description": null, "entity": "DEM_EMAILADDRESS", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "patient email address is populated", "failureNameOverride": "patient email address is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 29, "description": "", "entity": "DEM_DOB", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "patient date of birth is valid past date", "failureNameOverride": "patient date of birth is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 30, "description": "", "entity": "DEM_SEX", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "patient birth sex is SNOMED-CT", "failureNameOverride": "patient birth sex is not SNOMED-CT", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 31, "description": "", "entity": "DEM_ETHN", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "patient ethnicity is valid code", "failureNameOverride": "patient ethnicity is not valid code", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "CDC_RE", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 32, "description": "", "entity": "DEM_RACE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "patient race is valid concept", "failureNameOverride": "patient race is not valid concept", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "CDC_RE", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 33, "description": "", "entity": "DEM_DECDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "patient date of death is valid past date", "failureNameOverride": "patient date of death is not valid past date", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 34, "description": null, "entity": "DEM_TRIBALAFFILIATION", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "tribal affiliation is valid concept", "failureNameOverride": "tribal affiliation is not valid concept", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "HL7_TEUS", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 35, "description": "", "entity": "DEM_LANG", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "patient primary language code is valid", "failureNameOverride": "patient primary language code is not valid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "ISO_639-2", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 36, "description": "", "entity": "IMM_ADMDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "immunization date is valid", "failureNameOverride": "immunization date is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 37, "description": "", "entity": "IMM_VACC", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "Immunization is NDC or CVX ", "failureNameOverride": "Immunization is not NDC or CVX ", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "FDA_PACK,CDC_CVX", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 38, "description": "", "entity": "MED_DRUG", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "medication is RxNorm or NDC", "failureNameOverride": "medication is not RxNorm or NDC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "NLM_RXN,FDA_PACK", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 39, "description": "", "entity": "MED_DOSEAMT", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "medication dose is populated", "failureNameOverride": "medication dose is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 40, "description": "", "entity": "MED_DOSEAMTUOM", "samMnemonic": "ATTR_INEXTERNALLIST", "samNameOverride": "medication dose unit is UCUM", "failureNameOverride": "medication dose unit is not UCUM", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "EXTERNAL_LIST_MNEMONIC", "parameterValue": "UCUM", "parameterValueTypeName": "Content Set", "parameterName": "External List Mnemonic" } ], "conditionalSamParameters": [] }, { "sequence": 41, "description": "", "entity": "MED_IND", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "medication indication is SNOMED-CT or ICD-10", "failureNameOverride": "medication indication not SNOMED-CT or ICD-10", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT,WHO_ICD10CM_FULL", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 42, "description": "", "entity": "MED_FSTAT", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "medication fill status is populated", "failureNameOverride": "medication fill status not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 43, "description": "", "entity": "PRC_PROC", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "procedure is compatible concept", "failureNameOverride": "procedure is not compatible concept", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "AMA_CPT,HCPCS_CODES,WHO_ICD10PCS_FULL,SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 44, "description": "", "entity": "PRC_PRCDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "procedure date is valid past date", "failureNameOverride": "procedure date is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 45, "description": "", "entity": "PRC_RSN", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "procedure reason is populated", "failureNameOverride": "procedure reason not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 46, "description": "", "entity": "ENC_TYPE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "encounter type exists in code system", "failureNameOverride": "encounter type does not exist in code system", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "AMA_CPT,SNO_INT_USEXT", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 47, "description": "", "entity": "ENC_DATETIME", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "encounter date is in the past", "failureNameOverride": "encounter date is in not the past", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 48, "description": "", "entity": "ENC_ENDDATETIME", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "encounter end date in past", "failureNameOverride": "encounter end date not in past", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 49, "description": "", "entity": "ENC_DIAGNOSIS", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "encounter diagnosis is SNOMED-CT or ICD-10-CM", "failureNameOverride": "encounter diagnosis is not SNOMED-CT or ICD-10-CM", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "SNO_INT_USEXT,WHO_ICD10CM_FULL", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 50, "description": "", "entity": "ENC_DISPOSITION", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "encounter disposition is populated", "failureNameOverride": "encounter disposition is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 51, "description": "", "entity": "ENC_LOCATION", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "encounter location is populated", "failureNameOverride": "encounter location is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 52, "description": "", "entity": "VIT_VITAL", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "vital sign is in LOINC", "failureNameOverride": "vital sign is not in LOINC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "REGEN_LOINC", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 53, "description": "", "entity": "VIT_RESVAL", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "vital sign result is populated", "failureNameOverride": "vital sign result is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 54, "description": "", "entity": "VIT_RESUNIT", "samMnemonic": "ATTR_INEXTERNALLIST", "samNameOverride": "vital sign result unit is UCUM", "failureNameOverride": "vital sign result unit is not UCUM", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [ { "samParameterMnemonic": "EXTERNAL_LIST_MNEMONIC", "parameterValue": "UCUM", "parameterValueTypeName": "Content Set", "parameterName": "External List Mnemonic" } ], "conditionalSamParameters": [] }, { "sequence": 55, "description": "", "entity": "VIT_PERFDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "vital sign performed date is valid past date", "failureNameOverride": "vital sign performed date is invalid", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 56, "description": "", "entity": "VIT_RSTAT", "samMnemonic": "ATTR_ISPOPULATED", "samNameOverride": "vital sign result status is populated", "failureNameOverride": "vital sign result status is not populated", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 57, "description": "", "entity": "IMAGING_PROCEDURE", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "imaging procedure is LOINC", "failureNameOverride": "imaging procedure is not LOINC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "REGEN_LOINC", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 58, "description": "", "entity": "IMAGING_RPT_DATETIME", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "imaging report date is valid past dated", "failureNameOverride": "imaging report date is invalid", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 59, "description": "", "entity": "IMAGING_RPT_HASATTACHMENT", "samMnemonic": "ATTRIBUTE_INDICATOR_IS_TRUE", "samNameOverride": "imaging report has attachment", "failureNameOverride": "imaging report is missing attachment", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], "conditionalSamParameters": [] }, { "sequence": 60, "description": "", "entity": "HA_ITEM", "samMnemonic": "CONCEPT_ISVALIDMEMBER", "samNameOverride": "health status assessment is LOINC", "failureNameOverride": "health status assessment is not LOINC", "conditionalSam": null, "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": true, "samParameters": [ { "samParameterMnemonic": "CODE_SYSTEM_CSV", "parameterValue": "REGEN_LOINC", "parameterValueTypeName": "Code System", "parameterName": "Code System CSV" } ], "conditionalSamParameters": [] }, { "sequence": 61, "description": "", "entity": "HA_EFFDT", "samMnemonic": "ATTR_ISPASTDATE", "samNameOverride": "health assessment date is date in past", "failureNameOverride": "health assessment date is not date in past", "conditionalSam": "ATTR_ISPOPULATED", "scoringEffect": "Scoring", "scoringWeight": 1, "criticalityIndicator": false, "samParameters": [], 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