Project Summary for QRDA Draft Standard for Trial Use, Release 3
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Project Details
Number | 210 View Ballot Items List (with NIBs) |
---|---|
Name | QRDA Draft Standard for Trial Use, Release 3 |
Sponsor(s) | Clinical Quality Information Work Group |
Co-Sponsor(s) | Structured Documents Work Group |
Steering Division | Clinical |
Description | 05/20/2016 Scope Update: The scope of this STU ballot is to address approved DSTU comments and to incorporate further updates to the Quality Data Model from new versions as approved by the CQI WG. History: The scope of this project is to create a new release update to the Quality Reporting Document Architecture, Release 2, DSTU standard (including published errata updates). The updates of this new release will include: 1. Update templates to align with the Quality Data Model (QDM) version 4.1, which was published in July 2014 and QDM version 4.2 in August 2015. 2. Review and triage the QRDA Category I, Release 2 DSTU comments that were considered as New Feature Requests, determine whether they are appropriate for inclusion of Release 3 and then update the implementation guide accordingly. 3. Review the Consolidated CDA (C-CDA) templates that were used in the QRDA-I, R2, and where it is applicable; update the templates to align with the C-CDA R2 templates. Updates October 2014: The scope of this project is to create a new release update to the Quality Reporting Document Architecture, Release 2, DSTU standard (including published errata updates). The updates of this new release will include: 1. Update templates to align with the Quality Data Model (QDM) version 4.1, which was published in July 2014. 2. Review and triage the QRDA Category I, Release 2 DSTU comments that were considered as New Feature Requests, determine whether they are appropriate for inclusion of Release 3 and then update the implementation guide accordingly. 3. Review the Consolidated CDA (C-CDA) templates that were used in the QRDA-I, R2, and where it is applicable; update the templates to align with the C-CDA R2 templates. Update 02.01.2012: Health care institutions routinely collect and report performance measure data to improve the quality of care provided to patients. Measure data conforms to the requirements of defined 'quality measures' which are written and maintained by institutions concerned about health care quality. The specification will foster the development of fully automated EHR-based data submission and reporting and support future stages of CMS' EHR Incentive Program (Meaningful Use). This project will update and ballot the QRDA Category I DSTU. This work effort will include a U.S. Realm Quality Data Model (QDM)-based QRDA Category I Implementation Guide to direct implementers on how to construct QRDA Category I instances in conformance with HITECH eMeasures. Updates 05.15.2012 This project will further enhance the QRDA Category I DSTU following updates to the HQMF specification to support alignment. Health care institutions routinely collect and report performance measure data to improve the quality of care provided to patients. Measure data conforms to the requirements of defined 'quality measures' which are written and maintained by institutions concerned about health care quality. This project will define and bring to ballot a set of specifications for communicating quality measure definitions to, and reporting quality data from, electronic health records. The initial focus of the project will involve patient-level data submissions and, for specific use cases, it will include population-based submissions across a defined measure population. The specification will foster the development of fully automated EHR-based data submission and reporting. As needed, it will be compatible with semi-automated reporting which continues to rely on information derived from manual chart review and abstraction. This project will be compatible with the developing project known as 'Clinical Document Architecture Release 2 for Reporting'. In addition, this project will leverage and harmonize similar activities within and outside HL7 to avoid duplication of existing efforts. |
Project Facilitator | Yan Heras |
Status | STU - Test Period/Accepting Comments |
SD Approval Date | Dec 7, 2015 |
TSC Approval Date | Feb 1, 2016 |
Type | Ballot - STU to Normative |
Objectives / Deliverables | May 2016 Update: Submit for STU Ballot with Schematrons - Target: 2016 Sep Ballot Complete STU Reconciliation - Target: 2016 Dec STU Period - 24 months - Target: 2017 Jan - 2019 Jan Updates as needed to accommodate QDM updates - Target: 2017 Jan - 2018 Dec Submit for 2nd STU Ballot with Schematrons; Request STU Publication - Target: 2018 Sep Ballot Complete STU Reconciliation; STU Period - 12 months - Target: 2018 Dec STU Period - 24 months - Target: 2019 Jan - 2021 Jan Submit Normative Ballot - Target: Sep 2020 Normative Reconciliation - Target: 2020 Sep WGM Submit Publication Request - Target: 2020 Oct Receive ANSI Approval - Target: 2020 Nov Project End Date (all objectives have been met) - Target: 2020 Nov |
Next Milestone Date | 2024 January WGM |
Project End Date | 2024 January WGM |
Project Intent | Supplement to a Current Standard, Implementation Guide |
Project Need | 05/16/2016: The new ballot will refresh the QRDA Category I as an STU ballot. History: Since its publication in 2012, the QRDA Category I Release 2 (QRDA-I, R2) standard has experienced very rapid adoption. The Meaningful Use (MU) 2 rulemaking specifies it as the standard for reporting patient level data for clinical quality measures. § 170.205(h) Clinical quality measure data import, export, and electronic submission. Standard. HL7 Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture (incorporated by reference in § 170.299) The QRDA-I, R2 contains a library of templates that are based on the QDM. Over the past two years, the QDM has gone through multiple revisions. The current version is 4.1, which was published in July 2014. To support MU, the Measure Authoring Tool (the official tool for MU eCQM authoring) is currently in the process of being updated to support the QDM v4.1. Therefore, there is a need for updating the QRDA-I, R2 standard to ensure it is aligned with the QDM v4.1 for meeting the reporting needs. There is also a need to incorporate new requirements submitted as DSTU comments that are identified as necessary to support MU eCQM reporting. C-CDA templates were reused in the QRDA-I, R2. As the C-CDA standard has also gone through updates and new ballot over the past two years, it is necessary to update the QRDA-I templates to align with the latest C-CDA templates as needed. The intent is to align with US implementation of measures using QDM v4.1 or later. |
Implementers | 1) Centers for Medicare and Medicaid Services 2) MITRE Corporation 3) The Joint Commission |
Security Risks | No |
External Drivers | |
Common Names / Keywords/ Aliases | QRDA-1, QRDA Category 1, QRDA Cat 1 |
Lineage | QRDA Cat I Release 3 QRDA Cat I Release 3.1 DSTU Update |
Dependancies | Publication of the Consolidated CDA, R2 |
Project Document Repository | http://wiki.hl7.org/index.php?title=Quality_Reporting_Document_Architecture |
Backwards Compatibility | No |
External Vocabularies | Don't Know |
Products | V3 Documents-Clinical (e.g. CDA) |
Joint Copyright? | No |
External Pjt Collaborators | This project will be conducted in collaboration with the Centers for Medicare and Medicaid Services (CMS) eQuality Project. |
Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Stakeholders | Clinical and Public Health Laboratories, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other (specify in Misc. Notes below) |
Vendors | EHR, PHR; Health Care IT |
Providers | Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health) |
Ballot Cycle Info | 2017 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 1 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm 2017 May Ballot Cycle Info: STU Ballot results: Postponed Document Name: HL7 CDA Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm 2016 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 15 Negatives to reconcile Document Name: HL7 Standard for CDA; Release 2: Quality Reporting Document Architecture Category I (QRDA I), DSTU Release 3 - US Realm 2015 Jan Ballot Cycle Info: DSTU Ballot results: Did not meet basic vote requirements Document Name: HL7 Standard for CDA Release 2: Quality Reporting Document Architecture Category I (QRDA I), Release 1 - US Realm 2012 Sept Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 10 Negative to reconcile Document Name: HL7 Standard for CDA Release 2: Quality Reporting Document Architecture, DSTU Release 3 - US Realm Ballot Code: CDAR2_QRDA_R1_U2_2012SEP NIB Submitted By: Brett Marquard 2012 May Ballot Cycle Info: DSTU Update Ballot results: Met basic vote requirements. 14 Negatives to reconcile Document Name: HL7 Implementation Guides for CDA Release 2: IHE Health Story Consilidation, DSTU Release 1.1 Ballot Code: CDAR2_IG_IHE_CONSOL_R1_U1_2012MAY NIB Submitted By: Brett Marquard 2012 Jan Ballot Cycle Info: DSTU Ballot results: Postponed Document Name: HL7 Standard for CDA Release 2: Quality Reporting Document Architecture, Release 1 - US Realm Ballot Code: CDAR2_QRDA_R1_U1_2012JAN NIB Submitted By: Brett Marquard 2008 Sept Ballot Cycle Info: DSTU Document Name: HL7 Standard for CDA Release 2: Quality Reporting Document Architecture, Release 1 Ballot Code: CDAR2_QRDA_R1_D1_2008SEP NIB Submitted By: |
Misc Notes | 2021 December: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5.2 - US Realm for 2 years and HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm for 2 years 2019 Dec: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category 1 (QRDA 1) Release 1, STU Release 5 for 24 months through 01/25/2022 2018 November: TSC Approved Publication Request for HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1, STU Release 2.1 - US Realm is STU through December 28, 2018. Extended for 12 months through Dec 28, 2019 2017 Dec: TSC approved STU publication request for HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm at TSC Tracker 14226 through December 11, 2019 HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1, STU Release 2 - US Realm is STU through 2018-12-28. 2016 Dec: WG submitted STU Publication Request for HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture (QRDA I), Release 1, STU Release 4 - US Realm at TSC Tracker 12482 through 2019-01-25. HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture - Category III (QRDA III), DSTU Release 1.1 in DSTU through 3/17/2017 May 2016: Updated PSS submitted. Mar 2016: TSC approved DSTU Publication Request of an unballoted update to HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I), Release 1, STU Release 3.1 (US Realm) at TSC Tracker 9744 2015 Nov: This update will update QRDA Category 1 R3 to address DSTU Comments that are eratta and align better with QDM 4.2.... |
U.S. Govt Interest? | Yes |
USRSC Approval | Received |
FMG Approval | Not Needed |
ARB Approval | Not Needed |
Start Date | Jan 28, 2008 |
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