Section 1a: Clinical Document Architecture (CDA®)
Section 2: Clinical and Administrative Domains
Section 3: Implementation Guides

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I) - US Realm

DESCRIPTION

This two-volume implementation guide (IG) describes constraints on the Clinical Document Architecture Release 2 (CDA R2) header and body elements for Quality Reporting Document Architecture (QRDA) documents. The Institute of Medicine (IOM) definition of quality is: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” For care quality to be evaluated, it must be standardized and communicated to the appropriate organizations.

QRDA is a document format that provides a standard structure with which to report quality measure data to organizations that will analyze and interpret the data. Quality measurement in health care is complex. Accurate, interpretable data efficiently gathered and communicated is key in correctly assessing that quality care is delivered.

A QRDA Category I report is an individual-patient-level quality report. Each report contains quality data for one patient for one or more quality measures, where the data elements in the report are defined by the particular measure(s) being reported on. A QRDA Category I report contains raw applicable patient data. When pooled and analyzed, each report contributes the quality data necessary to calculate population measure metrics. This two-volume implementation guide (IG) describes constraints on the Clinical Document Architecture Release 2 (CDA R2) header and body elements for Quality Reporting Document Architecture (QRDA) documents.


 
Publication Date Version Description

December 2022
Current Version

 STU 5.3 with errata

QRDA I Release 1, STU Release 5.3, Supports QDM 5.6
CDAR2_IG_QRDA-I_R1_STU5.3_2021NOV_2022DEC_with_errata
Note: for the 2023 reporting period (CMS and The Joint Commission)

November 2021

 STU 5.3

QRDA I Release 1, STU Release 5.3, Supports QDM 5.6
CDAR2_IG_QRDA-I_R1_STU5.3_2021NOV

June 2020
 

 STU 5.2 with errata

Errata: QRDA I Release 1, STU Release 5.2 , Supports QDM 5.5
CDAR2_IG_QRDA-I_R1_STU5.2_2020FEB with 2020JUN errata
Note: for the 2021  and 2022 reporting period (CMS and The Joint Commission)

February 2020

 STU 5.2

QRDA I Release 1, STU Release 5.2 , Supports QDM 5.5
CDAR2_IG_QRDA-I_R1_STU5.2_2020FEB
October 2019 Errata: QRDA I Release 1, STU Release 5.1, Supports QDM v5.4
CDAR2_IG_QRDA-I_R1_STU5.1_2018DEC with 2019OCT errata
Note: for the 2020 reporting period (CMS and The Joint Commission)
December 2018
 QRDA I Release 1, STU Release 5.1, Supports QDM v5.4
CDAR2_IG_QRDA-I_R1_STU5.1_2018DEC
December 2017 STU 5 QRDA I Release 1, STU Release 5. Supports QDM v5.3
CDAR2_IG_QRDA-I_R1_STU5_2017DEC
Note: for the 2019 reporting period (CMS and The Joint Commission)
January 2017 STU 4 QRDA I Release 1, STU Release 4. Supports QDM v4.3
CDAR2_IG_QRDA_I_R1_S4_2017JAN
Note: for the 2018 reporting period (CMS and The Joint Commission)
April 2017 STU 3.1 Errata Errata to QRDA I Release 1, STU Release 3.1. Supports QDM v4.2
CDAR2_IG_QRDA_I_R3.1_2017APR)
April 2016 STU 3.1 QRDA I Release 1, STU Release 3.1. Supports QDM v4.2
CDAR2_IG_QRDA_I_R3.1_2017APR
June 2015 DSTU 3 QRDA I DSTU Release 3. Supports QDM v4.1.2
CDAR2_QRDA_I_R1_DSTU3_2015JUN
September 2014
 DSTU 2 Errata Errata to QRDA I DSTU Release 2. Supports QDM version released in 2012 and prior
CDAR2IG_QRDAI_DSTUR2_errata_2014JUN
July 2012
 DSTU 2 QRDA I DSTU Release 2. Substantive design change from the first version published in 2009. Supports QDM version released in 2012 and prior
CDAR2IG_QRDAI_DSTUR2_errata_2014JUN
April 2009 DSTU 1 QRDA I DSTU Release 1
CDAR2_QRDA_RI_DSTU_2009APR

 

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I) - US Realm may also go by the following names or acronyms:

"HL7 Implementation Guide for CDA R2: Quality Reporting Document Architecture, Release 1", QRDA, Quality Report Document Architecture, Measure Report, QRDA Cat I STU5, QRDA I STU 5.3

TARGETS

  • Quality Reporting Agencies
  • Payors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • Healthcare IT Vendors
  • EHR/PHR Vendors
  • Clinical Decision Support Systems Vendors
  • Lab Vendors

BENEFITS

  • Creates a standard method to report clinical quality measure results at individual patient level in a structured, consistent format
  • Enables reporting programs to develop a standard mechanism to send and receive clinical quality measure results so they can be processed for evaluation, comparison, and validation programs
  • Supports US Government regulatory reporting requirements for the Centers for Medicare and Medicaid Services (CMS)

IMPLEMENTATIONS/CASE STUDIES

  • Centers for Medicare and Medicaid Services (CMS)
  • Office of the National Coordinator (ONC) for Health Information Technology

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I) - US Realm
HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (View Brief)

(Download) (585 KB)

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.3 - US Realm (Submit Feedback on STU)

(Download) (6.77 MB)

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.2 - US Realm (Submit Feedback on STU)

(Download) (8.40 MB)

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.1 - US Realm Expiration Dec 2021

(Download) (6.70 MB)

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5 - US Realm Expiration Dec 2019

(Download) (7.41 MB)

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA I), Release 1, STU Release 4 - US Realm Expiration Jan 2019

(Download) (7.35 MB)

HL7 CDA® R2 IG: Quality Reporting Document Architecture Category I (QRDA I); Release 1, DSTU Release 3 - US Realm Expiration Jun 2017

(Download) (9.50 MB)

HL7 CDA® R2 IG: Quality Reporting Document Architecture Category I (QRDA I); Release 1, DSTU Release 3.1 - US Realm Expiration Jun 2017

(Download) (6.38 MB)

HL7 Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture – Category I, DSTU Release 2 (US Realm) Expiration Jul 2015

(Download) (3.29 MB)

HL7 Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture (QRDA), Release 1 Expiration Apr 2012

(Download) (1.71 MB)

TOPICS

  • Clinical Quality
  • Decision Support
  • Patient Care
  • Regulated Products

BALLOT TYPE

  • STU

STATUS DATE

2021-12-08

RESPONSIBLE WORK GROUPS

Clinical Quality Information

Structured Documents

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Lab Vendors
  • Payors
  • Quality Reporting Agencies

FAMILY

  • CDA

CURRENT STATE

  • Active

REALM

  • US Realm