Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides
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).
Publication Date | Version | Description |
---|---|---|
September 2021
|
QRDA III Release 1 (ANSI/HL7 Normative Release 1) (https://www.hl7.org/documentcenter/public/standards/CDAR2_IG_QRDAIII_R1_2021SEP.zip) Note: for the 2023 performance period (CMS) |
|
June 2017
Current Version |
STU 2.1
|
QRDA III Release 1, STU Release 2.1 (https://www.hl7.org/documentcenter/public/standards/dstu/CDAR2_IG_QRDAIII_R1_STU_R2.1_2017JUL.zip) Note: for the 2021 and 2022 performance period (CMS) |
December 2016 | STU 2.0 |
QRDA III Release 1, STU Release 2 (https://www.hl7.org/documentcenter/public/standards/dstu/CDAR2_IG_QRDAIII_R1_STU_R2_2016DEC.zip) |
March 2016 | DSTU 1.1 |
QRDA III DSTU Release 1.1 (https://www.hl7.org/documentcenter/public/standards/dstu/CDAR2_IG_QRDAIII_R1_DSTU_R1.1_2016MAR.zip) |
July 2014 | DSTU 1 Errata | Errata to QRDA III DSTU Release 1 (download is no longer available) |
November 2012 | DSTU 1 | QRDA III DSTU Release 1 (download is no longer available) |
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) (1.87 MB) |
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
2021-09-13RESPONSIBLE 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