[QRDA-99] We have data extracted from our EHR per NHI Specification Manual. We need a resource to guide us in mapping the data to the QRDA specs as seen in the sample xml files. Created: 08/08/14  Updated: 12/22/20  Resolved: 09/22/14

Status: Resolved
Project: QRDA Issue Tracker
Component/s: None

Type: Implementation Guidance Priority: Minor
Reporter: Robert Christian (Inactive) Assignee: Julia Skapik (Inactive)
Resolution: Answered Votes: 0
Labels: QRDA-I, QRDA-III, ValueSet

Attachments: PDF File 1b_Alpha_DataDictionary.pdf     PDF File 2zi_VTE2.pdf     XML File CMS190v1_CatI_QrdaSample.xml    
Impact: Can not build xml docs for MU2 reporting.
Solution: From The Joint Commission:

The Specifications Manual for National Inpatient Hospital Quality Measures is where the chart-abstracted measure specifications reside. This is usually called the “aligned manual”, as it’s used in both HIQR and The Joint Commission’s measure reporting program.

Because the specifications manual is built to support measure abstraction, it doesn’t make sense to me that there would be a QRDA mapping for it (and I don’t know of any such map). In fact, some data elements in the specifications manual do not correlate to EHR “units of meaning”. I don’t see how such a mapping could ever be standardized, and I doubt it would even be possible to directly map chart-abstracted specifications to QRDA.

It seems the reporter has used these specifications to capture and extract data from their EHR, essentially “retooling” measures on their own. I wonder if they know that eCQM specifications exist, and that these are the appropriate specifications to report QRDA data on.

I hope this helps.

From ONC:
Guidance and specifications for the measure program can be found at:
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/eCQM_Library.html

 Description   

We have data extracted from our EHR per NHI Specification Manual. We need a resource to guide us in mapping the data to the QRDA specs as seen in the sample xml files.



 Comments   
Comment by Julia Skapik (Inactive) [ 09/22/14 ]

Robert,

Please let us know if this is helpful/

Thank you,
Julia Skapik
Medical Officer
ONC/HHS

Comment by Julia Skapik (Inactive) [ 09/22/14 ]

Working with TJC and CMS to determine the correct response. Will notify you when we receive additional information.

Thank you,
Julia Skapik
Medical Officer
ONC/HHS

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