What is the Quality Reporting Document Architecture (QRDA)?

The Quality Reporting Document Architecture (QRDA) is a Health Level Seven International (HL7) Clinical Document Architecture (CDA)-based standard. It further constrains CDA Release 2 for exchange of electronic clinical quality measure (eCQM) data.

  • QRDA Category I (QRDA I) is an individual-patient-level report. It contains quality data for one patient for one or more eCQMs.
  • QRDA Category III (QRDA III) is an aggregate quality report. It has been expanded to also support the exchange of advancing care information measures and improvement activities for the CMS Quality Payment Program. A QRDA III report contains quality data for a set of patients for one or more eCQMs, advancing care information measures, and/or improvement activities.

The HL7 Clinical Quality Information (CQI) Workgroup maintains and updates both HL7 QRDA I and III standards to ensure alignment with other quality related standards.

CMS publishes QRDA implementation guides (IGs), Schematrons, and sample files annually to provide technical guidance for implementing the HL7 QRDA I and III standards specifically for reporting to the CMS quality reporting programs. The CMS IGs further constrain the HL7 QRDA I and QRDA III standards to support CMS specific requirements, such as requiring CMS program names for Hospital Quality Reporting (HQR) programs, Merit-based Incentive Payment System (MIPS), and Comprehensive Primary Care Plus (CPC+). The CMS IGs also provide submission guidance for a specific performance/reporting period. Schematron files contain a list of assertion rules used to validate that generated QRDA reports conform to the requirements specified in the IGs.

Where do I find QRDA standards?

Recent Activity

Wednesday, November 8 2017

  • 1:38pm EST

Tuesday, October 24 2017

  • Your profile picture
    2:40pm EDT

Tuesday, September 12 2017

  • 3:08pm EDT
  • 2:49pm EDT
  • 2:45pm EDT
  • 2:41pm EDT
  • 1:49pm EDT

Thursday, September 7 2017

  • Your profile picture
    4:48pm EDT

Tuesday, August 22 2017

  • Your profile picture
    12:15pm EDT

Wednesday, August 16 2017

  • Your profile picture
    2:52pm EDT
  • Your profile picture
    2:48pm EDT

Monday, August 14 2017

  • Your profile picture
    2:18pm EDT
  • Your profile picture
    1:49pm EDT
  • Your profile picture
    1:48pm EDT

Thursday, August 10 2017

  • 1:41pm EDT

Friday, June 9 2017

  • Your profile picture
    11:59am EDT

Wednesday, May 31 2017

  • Your profile picture
    1:20pm EDT

Monday, May 15 2017

  • Your profile picture
    7:52pm EDT
  • Your profile picture
    7:51pm EDT

Thursday, May 4 2017

  • 10:44pm EDT