The Challenge

To get ONC certification, both QRDA I and III generator functionality is required. Client’s system currently has only QRDA-I inbound(parser) capability.

The Approach

  • CES designed and developed the QRDA generator leveraging the Mirth Connect tool to generate QRDA files. The solution fetched the data using MS SQL stored procedure calls. CES leveraged Mirth Connect for building this tool, as client was already using it for QRDA I parser
  • The Mirth interface built by CES had following capabilities –
    • A Mirth channel that will listen to a database table for new request (Queue)
    • Upon receiving a new request, Mirth channel pools the database through stored procedures to get the required data values
    • The data received from stored procedures are considered as input value for the QRDA XML documents
    • Once QRDA is generated, the table will be updated with ‘completed’ flag along with filename of the output QRDA


  • As part of this project, CES developed a QRDA generator for client to meet the 93 clinical measures: – Ambulatory (64 measures and) and in patient (29 measures)
  • Client demonstrated clinical measures to get ONC certification which required both QRDA I and III generator functionality