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Correction to the 2019 CMS QRDA I IG for Hospital Quality Reporting

November 08, 2019 - 11:38am

Correction for the General Header Example in the 2019 CMS QRDA I IG for Hospital Quality Reporting

The Centers for Medicare & Medicaid Services (CMS) has corrected two typos in the 2019 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) Figure 5: General Header Example. The CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals reporting electronic clinical quality measures for the:

  • Hospital Inpatient Quality Reporting (IQR) Program
  • Medicare and Medicaid Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals (CAHs)

The QRDA Category I Framework (V4) is a Health Level Seven International (HL7) QRDA I R1 STU R5 requirement. No changes were required in the HL7 IG. The 2019 CMS QRDA IG has been updated to correct two typos in Figure 5: General Header Example.

Correction to Figure 5: General Header Example:

  • Incorrect Line: <!-- QRDA Category I Framework (V3) -->

         Corrected Line: <!-- QRDA Category I Framework (V4) -->

  • Incorrect Line: <templateId root="2.16.840.1.113883." extension="2016-02-01"/> 

         Corrected Line: <templateId root="2.16.840.1.113883." extension="2017-08-01"/> 

If the incorrect extension is used, QRDA documents will be rejected by the QualityNet Secure Portal and generate a CMS_0073 conformance error for the 2019 reporting period.

Note: No corrections were required for the Schematron or sample file.

Additional QRDA-Related Resources:

QRDA-related resources such as current and past implementation guides are found on the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page.

View the webinar presentation titled “CMS QRDA Category I IG Changes for Calendar Year 2019 HQR” for more details on changes from the 2018 QRDA I IG.

For questions related to this guidance, the QRDA Implementation Guides or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.

For questions about the QualityNet Secure Portal, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.


Last Updated: Nov 08, 2019