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OASIS edit -7061: Inconsistent Item

Edit -7061 is a fatal consistency edit in CMS's OASIS-E2 data specifications V3.02.0, effective for records with completion dates on or after 2026-04-01. iQIES reports it as "Inconsistent Item". A fatal edit rejects the record: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted." It checks 12 items: D0150A1, D0150A2, D0150B1, D0150B2, D0150C2, D0150D2, and more. CMS's action: "Make appropriate corrections to the records and resubmit."

What CMS's data specification says about -7061

CMS's OASIS-E2 Data Submission Specifications V3.02.0 (HTML edit page oe_7061.html, generated 11/05/2025) list edit -7061 with edit type Consistency and severity Fatal. The edit text, as CMS publishes it:

Total Severity Score Calculation: (a) If D0150A1 = [9] and D0150B1 = [9], then D0160 must equal [^]. (b) If D0150A2 = [0,1] and D0150B2 = [0,1], then D0160 must equal the sum of the values from D0150A2 and D0150B2. Otherwise, the PHQ-9 must be completed, and D0160 must equal the sum of the values of the following nine items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 and Format Integer Items to nearest integer. These are referred to as the "items in Column 2", below. The following rules explain how to compute the score that is placed in item D0160. These rules consider the "number of missing items in Column 2" which is the number of items in Column 2 that are skipped. (c) If the following items D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 equal [0,1,2,3], then D0160 must equal the sum of these items. (d) If one of the following items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 = [-,^], then D0160 must equal the sum of the remaining items times 9/8(1.125), rounded to the nearest integer. (e) If two of the following items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 = [-,^], then D0160 must equal the sum of the remaining items times 9/7(1.286), rounded to the nearest integer. (f) If three or more items between D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2 and D0150I2 = [-,^], then D0160 must equal [99].

Note: CMS's PDF Unduplicated Edits By ID Report for -7061 ends at sub-edit (e). Sub-edit (f) appears in CMS's HTML page for the edit and as guide entry -7061f below.

CMS's version note for -7061:

[V3.02.0]-New edit. Replaces edit -5910.

CMS's overview document defines this edit type: "Consistency edits define logical constraints among multiple items."

What the iQIES error message for -7061 says

CMS's OASIS Error Message Reference Guide v2.4 (Excel, posted 2026-02-05 on the QTSO reference manuals page) has 6 current entries for this edit. Each is copied in full, with whitespace normalised:

-7061a

Error ID
-7061a
Severity
Fatal
Type
Consistency
Error message
Inconsistent Item: If D0150A1 and D0150B1 Symptom Presence are No Response [9], then D0160 must be skipped [^].
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If D0150A1 and D0150B1 is No Response [9], then D0160 must be skipped [^].
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

-7061b

Error ID
-7061b
Severity
Fatal
Type
Consistency
Error message
Inconsistent  Item: If D0150A2 and D0150B2 Symptom Frequency are never/1 day or 2-6 days [0,1], then D0160 must equal the sum of those two items.
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If D0150A2 and D0150B2 is 6 days or less [0,1], then D0160 must equal the sum of the values from D0150A2 and D0150B2.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

-7061c

Error ID
-7061c
Severity
Fatal
Type
Consistency
Error message
Inconsistent Item: If items D0150A2 through D0150I2 symptom frequency equal [0,1,2,3], then D0160 total severity score must equal the sum of these items.
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If the following items D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 are between never and 14 days [0,1,2,3], then D0160 must equal the sum of these items.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

-7061d

Error ID
-7061d
Severity
Fatal
Type
Consistency
Error message
Inconsistent Item: If one of the items D0150A2 through D0150I2 symptom frequency is a dash or skipped [-,^], then D0160 total severity score must equal the sum of the remaining items times 9/8(1.125), rounded to the nearest integer.
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If one of the following items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 is a dash or skipped [-,^], then D0160 must equal the sum of the remaining items times 9/8(1.125), rounded to the nearest integer.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

-7061e

Error ID
-7061e
Severity
Fatal
Type
Consistency
Error message
Inconsistent Item: If two of the items D0150A2 through D0150I2 symptom frequency are a dash or skipped [-,^], then D0160 total severity score must equal the sum of the remaining items times 9/7(1.286), rounded to the nearest integer.
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If two of the following items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 are a dash or skipped [-, ^], then D0160 must equal the sum of the remaining items times 9/7(1.286), rounded to the nearest integer
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

-7061f

Error ID
-7061f
Severity
Fatal
Type
Consistency
Error message
Inconsistent Item: If three or more of the items D0150A2 through D0150I2 symptom frequency are a dash or skipped [-,^], then D0160 total severity score must equal [99].
Potential cause
The value(s) submitted in D0150 Mood items is not consistent with other mood related items.
Tips
If three of the following items: D0150A2, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2 are a dash or skipped [-, ^], then D0160 must equal the sum of the remaining items times 9/6(1.5), rounded to the nearest integer.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2026-04-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

Items this edit checks

CMS's Item List for -7061 names 12 items.

Item IDDescription (CMS)Item page
D0150A1Mood: Little interest/pleasure doing things: PresD0150
D0150A2Mood: Little interest/pleasure doing things: FreqD0150
D0150B1Mood: Feeling down, depressed, or hopeless: PresD0150
D0150B2Mood: Feeling down, depressed, or hopeless: FreqD0150
D0150C2Mood: Trouble falling or staying asleep: FreqD0150
D0150D2Mood: Feeling tired or having little energy: FreqD0150
D0150E2Mood: Poor appetite or overeating: FreqD0150
D0150F2Mood: Feeling bad about yourself: FreqD0150
D0150G2Mood: Trouble concentrating on things: FreqD0150
D0150H2Mood: Moving or speaking so slowly: FreqD0150
D0150I2Mood: Thoughts of better off dead: FreqD0150
D0160Total severity scoreD0160

Other current edits whose CMS Item List shares one or more items with -7061 (the broad -3060 value edit, which covers 365 items, is left out):

Edit IDSeverityTypeiQIES labelItems shared
-7060FatalConsistencyInconsistent D0150 Items4
-7070FatalConsistencyInconsistent D0150A Items2
-7071FatalConsistencyInconsistent D0150B Items2
-3090FatalFormatInvalid Value1
-3100FatalFormatInvalid Numeric Format1
-7072FatalConsistencyInconsistent D0150C Items1
-7073FatalConsistencyInconsistent D0150D Items1
-7074FatalConsistencyInconsistent D0150E Items1

What happens to the record

CMS's overview, section 6.4, on fatal edits: "Violation of a fatal edit will result in rejection of the submission file." CMS's iQIES error message guide: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."

Which records this edit applies to

Data specifications version 3.02 has an effective start date of 2026-04-01 and no end date (CMS overview, Table 1). CMS selects the edit set by the record's completion date: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."

Frequently asked questions

Is OASIS edit -7061 fatal or a warning?

Fatal. CMS lists edit -7061 with severity Fatal in the OASIS-E2 data specifications V3.02.0. The CMS overview states: "Violation of a fatal edit will result in rejection of the submission file." The iQIES error guide adds: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."

Which OASIS items can trigger edit -7061?

CMS's Item List for edit -7061 names 12 items: D0150A1, D0150A2, D0150B1, D0150B2, D0150C2, D0150D2, D0150E2, D0150F2, D0150G2, D0150H2, D0150I2, D0160. The full list with descriptions is in the table above.

How do I fix OASIS edit -7061?

CMS's OASIS Error Message Reference Guide v2.4 gives this action for -7061a: "Make appropriate corrections to the records and resubmit." Its tips: "If D0150A1 and D0150B1 is No Response [9], then D0160 must be skipped [^]." The guide has 6 entries for this edit (-7061a, -7061b, -7061c, -7061d, -7061e, -7061f); each is quoted above.

Which records does edit -7061 apply to?

Under version 3.02 of the data specifications, records whose completion date, item M0090_INFO_COMPLETED_DT, is on or after 2026-04-01, the effective start date CMS gives that version. Records completed earlier are checked under the version in effect on their completion date (CMS overview, Table 1 and section 3.2); the effective start date on each guide entry above is the date CMS's error guide gives that entry. The CMS overview states: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."

What changed for edit -7061 in V3.02.0?

CMS's version note reads: "[V3.02.0]-New edit. Replaces edit -5910."

Sources

  1. CMS, OASIS-E2 Data Submission Specifications V3.02.0 FINAL (zip): HTML edit page oe_7061.html and the Unduplicated Edits By ID Report. https://www.cms.gov/files/zip/oasis-e2-data-specs-v3-02-0-final-zip.zip (download page: https://www.cms.gov/medicare/quality/home-health/data-specifications)
  2. CMS, OASIS Data Submission Specifications Overview, Version 3.02.0, October 29, 2025 (in the same zip).
  3. CMS QTSO, OASIS Error Message Reference Guide v2.4 (Excel), posted 2026-02-05. https://qtso.cms.gov/system/files/qtso/OASIS%20Error%20Message%20Reference%20Guide%20FINAL%202.4.26.xlsx

CMS text on this page is copied from CMS's documents without rewording; whitespace is normalised, and one rendering artifact in CMS's HTML (a double quote standing in for an apostrophe) is corrected to the apostrophe in CMS's PDF report. This page is maintained by Logicly, which is not affiliated with CMS. Checked against the CMS files on 2026-10-16.