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CMS Issues Additional Guidance for the “Device, Order not done” Field Submission for VTE-1, VTE-2, and VTE-6 Measures for CY 2016 eCQM Reporting to the Hospital IQR and the Medicare EHR Incentive Programs

February 1, 2017 - 1:06pm

The purpose of this announcement is to notify hospitals participating in the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare Electronic Health Record (EHRinfo-icon) Incentive Program for eligible hospitalsinfo-icon and critical access hospitalsinfo-icon that the Centers for Medicare & Medicaid Services (CMS) has issued additional guidance for the “Device, Order not done” field submission for Venous thromboembolism (VTE) measures: VTE-1, VTE-2, and VTE-6 electronic Clinical Quality Measuresinfo-icon (eCQMsinfo-icon) for Calendar Year 2016 reporting.


There are three eCQMs, identified in the table below, that utilize the “Device, Order not done” Quality Data Model (QDM)info-icon datatype in their measure logic to pass or exclude cases that have reasons a VTE prophylaxis device was not ordered per the measure specificationsinfo-icon.

Measure Name

Measure Short Name


Venous Thromboembolism Prophylaxis



Intensive Care Unit Venous Thromboembolism Prophylaxis



Incidence of Potentially –Preventable Thromboembolism


CMS 114v4


Data submitters may have received notice in the feedback reports that their test or production Quality Reporting Document Architecture (QRDA)info-icon Category I files received the CDA_SDTC.xsd schema validation error (CMS_0072) when the submitter attempted to submit a QRDA category I file with “Device, Order not done.” This error causes the file to be rejected during the file validation process.


Submitters are advised to submit “Device, Applied not done instead of Device, Order not done for the VTE-1, VTE-2, and VTE-6 eCQMinfo-icon measures.

For example, to submit data for “Device, Order not done: Medical Reason” for “Venous foot pumps (VFP)”, please submit as “Device, Applied not done: Medical Reason” for “Venous foot pumps (VFP)”. Utilizing “Device, Applied not done” removes the need for the submitter to institute a workaround within the EHR system in order to pass the schema validation check for the CY 2016 reporting period. See screenshots below showing this example’s submission option.

The eCQM calculation results for VTE-1, VTE-2, and VTE-6 will be the same as if “Device, Order not done” were submitted. It is important to note that this specific guidance is only applicable for VTE-1, VTE-2, and VTE-6 eCQMs for the CY 2016 reporting period.

Image of VTE submission options

The input of data into QRDA files should always be submitted exactly as directed by eCQM definitions and published Implementation Guides provided by CMS or The Joint Commission. When issues arise, we strongly discourage organizations from using any unsanctioned work arounds; such as exchanging elements or modifying data, if a QRDA file is rejected. Instead, any identified issue must be brought to the attention of CMS or The Joint Commission through the ONC CQM Issue Tracker.

For further assistance regarding the information contained in this message, please submit your questions to the ONC CQM Issue Tracker.


Last Updated: June 19, 2018