Reporting Patient-level Quality Data for Quality Reporting Initiatives

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.1 with Errata (US Realm)	Balloted Draft	Production	Yes	Free	Yes
Implementation Specification	HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.2 with Errata (US Realm)	Balloted Draft	Production	Yes	Free	Yes
Implementation Specification	HL7® FHIR® DaVinci Data Exchange For Quality Measures (DEQM) Implementation Guide	Balloted Draft	Pilot	Yes	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Testing tools for FHIR and QRDA-based quality reporting are available: https://ecqi.healthit.gov/fhir?qttabs_fhir=1 https://ecqi.healthit.gov/qrda?qttabs_qrda=1 The Data Exchange for Quality Measures Implementation Guide is being expanded to support communication for gaps-in-care. See CDA and QRDA projects in the Interoperability Proving Ground.	Feedback requested

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