QRDA

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?

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