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1 Header
2 Author/Custodian/Authenticator
3 QRDA 3 report - date range
  <structuredBody>
    <component>
      <section>
        <templateId root="2.16.840.1.113883.10.20.17.2.1"/>
        <templateId root="2.16.840.1.113883.10.20.27.2.2"/>
        <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
        <title>Reporting Parameters</title>
        <text>
          <list>
            <item>Reporting period Dec 31 2011 - 
                  Dec 31 2012</item>
          </list>
        </text>
        <entry typeCode="DRIV">
          <act classCode="ACT" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.17.3.8"/>
            <code code="252116004"
             codeSystem="2.16.840.1.113883.6.96"
             displayName="Observation Parameters"/>
            <effectiveTime>
              <low value="20131231120000"/>
              <high value="20141231120000"/>
            </effectiveTime>
          </act>
        </entry>
      </section>
    </component>
4 QRDA 3 report - other data entries
   
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Universal Health System Metric Tools referenced on this site:
CMS Submission Toolkit, CST-CMS Submission Template, PQRS Audit Tool, PQRS Validator, GPRO Aggregator,
    QCDR-HISP and NwHIN Sleuth are trademarks of CMS Gateways, LLC
All other products mentioned are registered trademarks or trademarks of their respective companies.

QCDR-HISP = Qualified Clinical Data Registry - Health Information Service Provider

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Last modified: Friday October 31, 2014.