Reporting Patient-level Quality Data for Quality Reporting Initiatives

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	CMS Implementation Guide for Quality Reporting Document Architecture: Category I; Hospital Quality Reporting; Implementation Guide for 2022	Final	Production	Feedback Requested	Yes	Free	Yes
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. The CMS Implementation Guide for Quality Reporting Document Architecture: Category I; Hospital Quality Reporting; Implementation Guide for 2022 is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers.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

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.
The CMS Implementation Guide for Quality Reporting Document Architecture: Category I; Hospital Quality Reporting; 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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