Reporting Aggregate Quality Data for Quality Reporting Initiatives

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	HL7® Clinical Document Architecture (CDA®), Release 2.0, Final Edition	Final	Production		No	Free	No
Standard	HL7 FHIR® R4 Clinical Reasoning Module	Balloted Draft	Pilot		No	Free	Yes
Implementation Specification	CMS Implementation Guide for Quality Reporting Document Architecture: Category III; Eligible Clinicians and Eligible Professionals Programs; Implementation Guide for 2022	Final	Production	Feedback Requested	Yes	Free	Yes
Implementation Specification	HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture - Category III (QRDA III) STU Release 2.1	Balloted Draft	Production		Yes	Free	Yes
Implementation Specification	HL7 FHIR Implementation Guide: Data Exchange for Quality Measures STU2 for FHIR R4	Balloted Draft	Pilot		No	Free	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
See CDA, QRDA, DEQM projects in the Interoperability Proving Ground. The CMS Implementation Guide for Quality Reporting Document Architecture: Category III; Eligible Clinicians and Eligible Professionals Programs; Implementation Guide for 2022 is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

See CDA, QRDA, DEQM projects in the Interoperability Proving Ground.
The CMS Implementation Guide for Quality Reporting Document Architecture: Category III; Eligible Clinicians and Eligible Professionals Programs; Implementation Guide for 2022 is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).

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