Source: https://www.healthit.gov/test-method/clinical-quality-measures-cqms-report
Timestamp: 2019-04-26 09:47:35+00:00

Document:
Removed ‘report with raw data’ from SUT step 2 in paragraph (c)(3)(i).
At a minimum, in accordance with the standards specified in §170.205(h)(2) and §170.205(k)(1) and (2).
The standards will be specified by CMS in its regulations and program guidance. For more information please reference CMS's QRDA page.
The user can generate an aggregate report (QRDA Category III) with calculated summary data for the patient population of the clinical quality measures calculated in the Execute test (§ 170.315(c)(2)), which at a minimum is in accordance with the standard specified in § 170.205(k)(1) Quality Reporting Document Architecture Category III, Implementation Guide for CDA Release 2 and § 170.205(k)(2) Errata to the HL7 Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture – Category III, DSTU Release 1.
A user can generate a de-duplicated archive of patient documents in the QRDA Category I format of the clinical quality measures calculated in the Execute test (§ 170.315(c)(2)), which at a minimum is in accordance with the standard specified in § 170.205(h)(2) HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture – Category I (QRDA I); Release 1, DSTU Release 3, Volume 1.
The health IT developer submits the quality measurement data file consisting of the data created by the generation of the QRDA Category III aggregate report(s) and the de-duplicated QRDA Category I report(s) for verification.
Prior to beginning this test, the tester creates and exports data using Cypress, and the health IT developer imports the data into their Health IT Module.
runs the Cypress supplied XML schema validation for each aggregate report.
The tester verifies that all of the QRDA Category III aggregate report(s), submitted by the health IT developer are at a minimum in accordance with the standard specified at § 170.205(k)(1) and (2) through evaluation of the Cypress validation report.
The tester verifies that all of the de-duplicated QRDA Category I report(s) submitted by the health IT developer are at a minimum in accordance with the standard specified at § 170.205(h)(2) through evaluation of the Cypress validation report.
The tester verifies via visual inspection that the data file for transmission submitted with clinical quality measurement data includes both de-duplicated QRDA Category I and aggregate QRDA Category III report(s).
The QRDA reports created in paragraph (c)(3)(i) are validated using Cypress to validate they can be electronically accepted by CMS.
The tester verifies that the QRDA reports can be electronically submitted to CMS based on Cypress validation.
Revised to include an ONC approved alternative test procedure, tool, and data offered by the National Committee for Quality Assurance (NCQA).
Privacy and Security: This certification criterion was adopted at § 170.315(c)(3). As a result, an ONC-ACB must ensure that a product presented for certification to a § 170.315(c) “paragraph (c)” criterion includes the privacy and security criteria (adopted in § 170.315(d)) within the overall scope of the certificate issued to the product.
The specific version, number, and type of clinical quality measures (CQMs) presented for certification are determined at the developer’s discretion. We recommend developers consult any CMS or other programs’ requirements around the specific version, number, or type of CQMs required for providers in determining the CQMs presented for certification.
Certain CMS programs require or provide the option for electronic CQM (eCQM) reporting. These programs include the EHR Incentive Program, the Physician Quality Reporting System, the Hospital Inpatient Quality Reporting Program, the Comprehensive Primary Care (CPC) initiative, CPC Plus, and the Value-Based Payment Modifier Program. Each year, CMS issues annual updates to eCQMs (herein referred to as the “CMS annual measure update(s)”) which are published on the Electronic Clinical Quality Improvement (eCQI) Resource Center. The CMS annual measure updates rely upon specific versions of the Quality Reporting Document Architecture (QRDA) Category I and Category III standards. Each year’s QRDA standards are referenced in the corresponding CMS QRDA Implementation Guide (IG) associated with that program year and CMS annual measure update. The CMS QRDA IG also contains additional programmatic form and manner requirements necessary for reporting to CMS programs, which make it necessary for the corresponding testing tools to keep pace with these measure updates and CMS reporting requirements. Thus, health IT developers are permitted to be tested and certified to the applicable CMS annual measure update and use the corresponding versions of QRDA Category I and Category III standards as referenced in the CMS QRDA IG. ONC will evaluate the need for future rulemaking to align the versions of QRDA standards required for this certification criterion with the versions of QRDA standards in the CMS annual measure update.
After technology is certified to specific CQMs for this 2015 Edition certification criterion at § 170.315(c)(3), technology is not required to recertify to the annual measure specification updates CMS issues to maintain 2015 Edition certification unless that product is relabeled. Said another way, other programs, such as the EHR Incentive Program, may require developers upgrade their technology to the newest CQM specifications, but the technology is not required to be retested or recertified unless explicitly specified in other program requirements. [see also ONC FAQ #42] It is expected that all systems will test all measure and standards updates as a best practice. The testing tools are available for each CMS annual measure update and when there are late standards errata or CMS requirement changes to facilitate additional testing.
Technical outcome – A user can create a data file for transmission of CQM data in QRDA Category I (for individual level reports) and Category III (for aggregate reports) as specified in the HL7 CDA® Release 2 Implementation Guide for: Quality Reporting Document Architecture – Category I (QRDA I), DSTU Release 3 and Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture—Category III, DSTU Release 1 (US Realm) with September 2014 Errata, respectively or the corresponding version of the QRDA standard for the CMS annual measure update being certified.
Technical outcome – As an optional provision, a user can create a data file for transmission of CQM data that can be electronically accepted by CMS.
CMS EHR Incentive Program Resource Page (contains program requirements, reporting requirements, and other resources for each program year).
Cypress Gold Standard Test Data created using Cypress - generated to match the submitted exported QRDA Category I files created during (c)(1)(ii) and generated QRDA Category I files created as a result of (c)(2)(i) Import of CQMs.

References: §170
 §170
 § 170
 § 170
 § 170
 § 170
 § 170
 § 170
 § 170
 § 170
 § 170