Export

(ii) Export. A user must be able to export a data file at any time the user chooses and without subsequent developer assistance to operate: (A) Formatted in accordance with the standard specified in 170.205(h)(2); (B) Ranging from one to multiple patients; and (C) That includes all of the data captured for each and every CQM to which technology was certified under paragraph (c)(1)(i) of this section. (2) Clinical quality measuresimport and calculate(i) Import. Enable a user to import a data file in accordance with the standard specified in 170.205(h)(2) for one or multiple patients and use such data to perform the capability specified in paragraph (c)(2)(ii) of this section. A user must be able to execute this capability at any time the user chooses and without subsequent developer assistance to operate. (ii) Calculate each and every clinical quality measure for which it is presented for certification. (3) Clinical quality measuresreport. Enable a user to electronically create a data file for transmission of clinical quality measurement data: (i) In accordance with the applicable implementation specifications specified by the CMS implementation guides for Quality Reporting Document Architecture (QRDA), category I, for inpatient measures in 170.205(h)(3) and CMS implementation guide for QRDA, category III for ambulatory measures in 170.205 (k)(3); or (ii) In accordance with the standards specified in 170.205(h)(2) and 170.205(k)(1) and (2) for the period before December 31, 2022. (4) Clinical quality measuresfilter. (i) Record the data listed in paragraph (c)(4)(iii) of this section in accordance with the identified standards, where specified. (ii) Filter CQM results at the patient and aggregate levels by each one and any combination of the data listed in paragraph (c)(4)(iii) of this section and be able to: (A) Create a data file of the filtered data in accordance with the standards adopted in 170.205(h)(2) and 170.205(k)(1) and (2); and (B) Display the filtered data results in human readable format. (iii) Data. (A) Taxpayer Identification Number. (B) National Provider Identifier. (C) Provider type in accordance with, at a minimum, the standard specified in 170.207(r)(2). (D) Practice site address. (E) Patient insurance in accordance with the standard specified in 170.207(s)(2). (F) Patient age. (G) Patient sex in accordance with the version of the standard specified in 170.207(n)(2). (H) Patient race and ethnicity in accordance with, at a minimum, the version of the standard specified in 170.207(f)(3). (I) Patient problem list data in accordance with, at a minimum, the version of the standard specified in 170.207(a)(1).

Source

45 CFR § 170.315


Scoping language

in this part
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