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QRDA - Quality Reporting Document Architecture

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).

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).

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).

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).

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).

Previous Versions

Please note -  Previous versions are for reference only. Do not use these versions for submissions to CMS.

 

 

Last Updated: Jun 17, 2025