The 2027 Annual Update draft measure specifications are now available. Question and comment on Eligible Clinician eCQMs, Hospital - Inpatient eCQMs, and Hospital - Outpatient eCQM until December 19, 2025.
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2026 Reporting and Performance Period
The 2026 CMS QRDA I Implementation Guide for Hospital Quality Reporting for 2026 eCQM reporting is based on the HL7 CDA Release 2: QRDA Category I, Release 1, Standard for Trial Use Release 5.3 with errata (published December 2022).
- 2026 CMS QRDA I Implementation Guide for Hospital Quality Reporting (Published May 2025)
- 2026 CMS QRDA I Schematron and Sample Files for Hospital Quality Reporting (Published May 2025)
The 2026 CMS QRDA III IG, Schematron, and Sample Files for Eligible Clinicians for 2026 eCQM reporting is based on the HL7 Implementation Guide for CDA Release 2: QRDA Category III, Release 1 (published September 2021).
- 2026 CMS QRDA III Implementation Guide for Eligible Clinicians (Published July 2025)
- 2026 CMS QRDA III Schematrons and Sample Files for Eligible Clinicians (Published July 2025)
2025 Reporting and Performance Period
The 2025 CMS QRDA I Implementation Guide for Hospital Quality Reporting for 2025 eCQM reporting is based on the HL7 CDA Release 2: QRDA Category I, Release 1, Standard for Trial Use Release 5.3 with errata (published December 2022).
- 2025 CMS QRDA I Implementation Guide for Hospital Quality Reporting (Updated May 2025)
- 2025 CMS QRDA I Schematron and Sample Files for Hospital Quality Reporting (Published May 2024)
The 2025 CMS QRDA III IG, Schematron, and Sample Files for Eligible Clinicians for 2025 eCQM reporting is based on the HL7 Implementation Guide for CDA Release 2: QRDA Category III, Release 1 (published September 2021).
- 2025 CMS QRDA III Implementation Guide for Eligible Clinicians (Updated December 2024)
- 2025 CMS QRDA III Schematrons and Sample Files for Eligible Clinicians (Updated December 2024)
2024 Reporting and Performance Period
The 2024 CMS QRDA I Implementation Guide for Hospital Quality Reporting for 2024 eCQM reporting is based on the HL7 CDA Release 2: QRDA Category I, Release 1, Standard for Trial Use Release 5.3 with errata (published December 2022).
- 2024 CMS QRDA I Implementation Guide for Hospital Quality Reporting (Updated August 2023)
- 2024 CMS QRDA I Schematron and Sample Files for Hospital Quality Reporting (Updated August 2023)
The 2024 CMS QRDA III IG, Schematron, and Sample Files for Eligible Clinicians for 2024 eCQM reporting is based on the HL7 Implementation Guide for CDA Release 2: QRDA Category III, Release 1 (published September 2021).
- 2024 CMS QRDA III Implementation Guide for Eligible Clinicians (Updated November 2023)
- 2024 CMS QRDA III Schematrons and Sample Files for Eligible Clinicians (Updated February 2024)
Last Updated: Dec 08, 2025