HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm

DESCRIPTION

A QRDA Category III report is an aggregate quality report. Each report contains calculated summary data for one or more measures for a specified population of patients within a particular health system over a specific period of time. Data needed to generate QRDA Category III reports must be included in the collected QRDA Category I reports, as the processing entity will not have access to additional data sources.

The QRDA Category III Implementation Guide directs implementers on how to construct QRDA Category III instances to report aggregated results for electronic clinical quality measures (eCQMs).

 

 

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm may also go by the following names or acronyms:

TARGETS

• Quality Reporting Agencies
• Regulatory Agency
• Standards Development Organizations (SDOs) 
• Payors
• EHR, PHR Vendors
• Health Care IT Vendors
• Clinical Decision Support Systems Vendors
• HIS Vendors
• Local and State Departments of Health
• Healthcare Institutions (hospitals, long term care, home care, mental health)
• Clinical Quality Measure Developers

BENEFITS

• Creates a standard method to report aggregate clinical quality measure results in a structured, consistent format.
• Enables reporting programs to develop a standard mechanism to send and receive clinical quality measure results so they can be processed for evaluation, comparison, and validation programs.
• Supports US Government regulatory reporting requirements for the Centers for Medicare and Medicaid Services (CMS) including healthcare organization and ambulatory clinician reporting.

IMPLEMENTATIONS/CASE STUDIES

• Centers for Medicare and Medicaid Services (CMS)
• Office of the National Coordinator (ONC) for Health Information Technology

DEVELOPMENT BACKGROUND

This guide was produced and developed through the joint efforts of HL7, ONC, and CMS. To support the need of reporting summary level data for improvement activities and advancing care information measures, the QRDA Category III Release 1,STU Release 2 was developed based upon the existing QRDA Category III functionalities and was published in December 2016. The STU R2.1 Update published in June 2017 included updates that addressed approved STU comments to the QRDA Category III STU 2. The CQI WG took this to the January 2021 ballot cycle for a Normative ballot. The Normative Release 1 was published in September 2021.

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm

(Download)

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1, STU Release 2.1 - US Realm

Expiration Dec 2023

(Download) (1.84 MB)

TOPICS

• Clinical Quality
• Decision Support
• Regulated Products

BALLOT TYPE

• Normative
• STU

STATUS DATE

2021-09-13

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Health Care IT Vendors
• Healthcare Institutions
• HIS Vendors
• Payors
• Quality Reporting Agencies
• Regulatory Agency

FAMILY

• CDA

CURRENT STATE

• Active

REALM

• US Realm