QRDA III - Race and Sex supplemental data clarification

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    • Type: Question/Guidance
    • Resolution: Resolved
    • Priority: Moderate
    • Component/s: QRDA-III Standard
    • None
    • Not measure related

      Please provide the clarification for the following QRDA III submission for 2025 for the following scenarios.

      QRDA III - Race category

      Scenario 1: 

      Per the HL7 and CMS IG , we are in need to provide the counts for the following category.

      Say, if a Patient has more than one race ,which do not fall in OMB Standard in this case should we count that member as "OTHER RACE" ?

      Scenario 2 :

      Say , if a patient has 2 race , say he is Asian and White , then in QRDA III file , should we count this member twice or count this member in "OTHER RACE" ?

      Scenario 3:

      Per, eCQM Logic and Implementation Guidance document , should we publish the count for UNK and ASKU only for QRDA I or is it applicable for QRDA III as well?

       

      QRDA III - Administrative Gender

      Per HL7 and CMS IG , for Administrative gender , we are required provide counts for Male and Female , where as in  eCQM Logic and Implementation Guidance document , it is mentioned to include the demographic rule from 2015 Edition Certification Rule , which includes UNK as well. Pls clarify should we include UNK and ASKU for QRDA III - admin.sex as well. 

       

       

       

       

            Assignee:
            David DeRoode
            Reporter:
            Santhosh Raj KNR
            Votes:
            1 Vote for this issue
            Watchers:
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              Created:
              Updated:
              Resolved: