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Recommendations on QRDA Category-III Aggregate Report for Query Health Results Format

Recommendations on QRDA Category-III Aggregate Report for Query Health Results Format. Srinivas Velamuri, Software Architect, Telligen. Edits to QRDA Cat-III structure. As per draft standard. For Query Health. QRDA Header QRDA Body Reporting Parameters Section MeasureSet Section

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Recommendations on QRDA Category-III Aggregate Report for Query Health Results Format

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  1. Recommendations on QRDA Category-III Aggregate Report for Query Health Results Format Srinivas Velamuri, Software Architect, Telligen

  2. Edits to QRDA Cat-III structure As per draft standard For Query Health • QRDA Header • QRDA Body • Reporting Parameters Section • MeasureSet Section • Measure Section • Measure Section • MeasureSet Section • Measure Section • Measure Section • Measure Section • Measure Section • QRDA Header • QRDA Body • Reporting Parameters Section • Measure Section 2

  3. Edits to QRDA Cat-III draft standard As per draft standard For Query Health • CONF-QRDA-III-20: A QRDA Category III report SHALL contain at least one and MAY contain more than one Measure Set section containing information about the measure set. • CONF-QRDA-III-20: A QRDA Category III report MAY contain one or more Measure Set sections containing information about the measure sets. Rationale: The HQMF query addresses only a single measure, not a Measure Set, so it is recommended to make Measure Sets optional in the response. 3

  4. Additional constraint for Query Health As per draft standard For Query Health • CONF-QRDA-III-21: A QRDA Category III report SHALL contain at least one and MAY contain more than one Measure section, each containing information about a single measure. • CONF-QRDA-III-21: A QRDA Category III report SHALL contain exactly one Measure section, containing information about a single measure. Rationale: The HQMF query addresses only a single measure, so it is recommended to remove results for multiple measures in the response. However a Query envelope may contain multiple QRDA cat-III responses 4

  5. Using business names … • While compared to HQMF queries (which may run into several pages), the QRDA Cat-III responses are very simple • Further in QRDA cat-III response, unlike HQMF queries, one can’t find so many sections, entries etc. , which may warrant the usage of business names for the sections, entries, etc. • Also unlike HQMF queries, the QRDA Cat-III response is built on top of HL7 CDA R2 standard and is a peer to HL7 CCD standard, which is more widely used by healthcare organizations and a change in this area would call from participation from a broader community • Recommendation: Do not use business names in QRDA cat-III (at least in the short-term) 5

  6. Using CLASSIFIERS … • In HQMF standard proposed edits, there is a mention of CLASSIFIERS to enable Measure (Query) results to be broken down by population subgroups: e.g., age range, gender, race/ethnicity. But this may call for addition of a new SECTION in HQMF other than Data Criteria and Population Criteria, such as “Stratification Criteria Section”. This is a recommendation for the HQMF standards team • However CLASSIFIERS are supported by the way of “measure-specific grouping data elements” of Measure Section in the QRDA Cat-III response 6

  7. Referencing HQMF query in QRDA Cat-III • Need: QRDA Cat-III response needs to contain the reference to HQMF query that is being used to create this response • Recommendation: Use the “inFulfillmentOf” element in QRDA Header to capture the HQMF query information in the QRDA cat-III response <inFulfillmentOf> <order> <!-- HQMF Query ID -- > <id root="2.16.840.1.113883.3.1619.5148.3.20120214.165226983.1"/> </order> </inFulfillmentOf> 7

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