Guidance for Reporting Diagnostic Study Performed Results Data in 2018 CMS QRDA I Reports

The Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC) are releasing guidance for reporting diagnostic test data in the Diagnostic Study Performed (V3) template of Quality Reporting Document Architecture (QRDA) Category I files. This affects the electronic clinical quality measure (eCQM) CMS31v6 - Hearing Screening Prior To Hospital Discharge only. The 2018 CMS QRDA Category I Implementation Guide (IG) for Hospital Quality Reporting allows for two ways of reporting the result of a diagnostic test in the Diagnostic Study Performed (V3) template:

Using the element “value” inherited from its parent template Procedure Activity Observation (V2), or
Using the contained template Result (V3).

For 2018 reporting, CMS has aligned with TJC to only use the first option. Result data for the Diagnostic Study Performed template must be in the value element in order to be processed by CMS.

Result data provided in the template Result (V3) will not be used by the QualityNet data receiving system during measure calculation of CMS31v6. The QRDA file will not be rejected, nor will a warning be returned, if the Result (V3) template is used, and that the measure outcome of CMS31v6 from CMS may not match what is expected.

A more detailed description can be found on the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page.

Additional QRDA-Related Resources:

To find out more about QRDA and eCQMs, visit the eCQI Resource Center.

For questions related to the QRDA IGs and/or Schematrons, visit the ONC Project Tracking System (JIRA) QRDA project.

For questions about the QualityNet Secure Portal, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.