eCQI Standards

About electronic Clinical Quality Improvement standards

Standards are critical to data consistency, validity and interoperability. Their use makes it easier to:

  • Share information
  • Develop software
  • Integrate data
  • Implement systems

Standards, in the context of health IT, refer to agreed-on file formats for electronic documents, messages, and other healthcare related data elements. Click here to learn more about Health IT standards in general. Standards constantly improve so that more sophisticated data can be captured, used and analyzed.  Click here for a complete list of eCQM Standards and Tool Versions by year.

While eCQI is made up of eCQMs and Clinical Decision Support (CDS), you’d think both use the same standards, but they don’t. It’s important to understand the difference.

eCQM standards

Current CDS standards:

  • Virtual Medical Record (vMR) data model and templates
  • Health eDecisions (HeD) CDS Knowledge Artifact Specification (KAS)
    • Rules, order sets, documentation templates
  • Health eDecisions (HeD) Decision Support Service (DSS) and Implementation Guide

Learn about efforts to harmonize CDS/eCQM Standards:

CDS/eCQM Harmonization

Harmonize CDS/eCQM Standards

Read about HL7 standards and HL7 standards for use in HHS incentive programs.

Explore ONC's Standards and Interoperability (S&I) Framework and the S&I Clinical Quality Framework Initiative


eCQM Standards and Tools Version Chart

Reporting/
Performance Period
eCQM Annual Update Tool and Resource Versions Standard Versions
MAT Measure Logic Document Cypress Bonnie QDM QDM-based HQMF HQMF HL7 QRDA Version CMS QRDA IG
2018 May 2017 V4.6.0 V1.13 V3.2 (release July 2017) V1.6.2 V4.3 R1.4 R2.1 QRDA I, STU R4

QRDA III, STU R2
Summer 2017
2017 EH April 2016

EP April 2016
V4.3.1 V1.12 V3.0 V1.4.8 (support for QDM 4.2) V4.2 R1.3 R2.1 QRDA I, DSTU R3.1

QRDA III, STU R2
Eligible Hospitals

EP/Eligible Clinicians
2016 EH June 2015

EP June 2015
V4.2.0 V1.11 V2.7.0 (supports QRDA R3) V1.3.7 V4.1.2 R1.1 R2.1 QRDA I, DSTU R3

QRDA III, DSTU R1
V1.0

Appendix
2015 EH April 2014

EP July 2014
V3.1.2 V1.7 EH

V1.9 EP
V2.6.1 (supports HL7 QRDA R2) V1.0 V4.1.1

V4.1

V4.0
R1.0 R1 QRDA I, DSTU R2 (and July 2014 Errata)

QRDA III, DSTU R1 (and June 2014 Errata)
V1.0

Addendum
2014 EH April 2013

EP June 2013
V1.1.1 V1.3 EH

V1.5 EP
V2.4.1 N/A HQMF Templates N/A R1 QRDA I, DSTU R2

QRDA III, DSTU R1
EH V2.2

EP QRDA I V4.0

EP QRDA III V2.0

The standards and tool versions listed here were used to create and/or support the implementation of the eCQM specification updates. These versions are currently used for the applicable reporting periods. There may be newer versions or updates available.
Download the pdf version of this table, here.

Recent Activity

Thursday, March 16

  • 3:37pm EDT
    Event Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Mar 16 2017 - 2:00pm Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Mar 16 2017 - 4:00pm The Centers for Medicare & Medicaid Services (CMS) invites you to a “Cooking with Clinical Quality Language (CQL): or How to Incorporate CQL into Health Quality Measure Format (HQMF) for Electronic Clinical Quality Measures (eCQMs)” webinar.The Cooking with CQL series provides an interactive environment for measure developers. The upcoming session will feature open discussion from subject matter experts on the Measure Authoring Tool (MAT), show how to express measures using CQL and review prepared questions.To register for the webinar taking place on Thursday March 16, 2017 at 4:00 P.M. EST go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=efec055f6407a61631cf777522efb9909Please submit CQL related questions to cql-esac@esacinc.com. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org or 614-424-4855. 

    Event Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Mar 16 2017 - 2:00pm

    Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Mar 16 2017 - 4:00pm

    The Centers for Medicare & Medicaid Services (CMS) invites you to a “Cooking with Clinical Quality Language (CQL): or How to Incorporate CQL into Health Quality Measure Format (HQMF) for Electronic Clinical Quality Measures (eCQMs)” webinar.

    The Cooking with CQL series provides an interactive environment for measure developers. The upcoming session will feature open discussion from subject matter experts on the Measure Authoring Tool (MAT), show how to express measures using CQL and review prepared questions.

    To register for the webinar taking place on Thursday March 16, 2017 at 4:00 P.M. EST go to:
    https://battelle.webex.com/battelle/onstage/g.php?MTID=efec055f6407a61631cf777522efb9909

    Please submit CQL related questions to cql-esac@esacinc.com. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org or 614-424-4855. 

Wednesday, March 15

Sunday, March 12

  • 11:37pm EDT
    Event Reminder: 3Q 2016 or 4Q 2016 eCQM Hospital Inpatient Quality Reporting (IQR) Program Submission Deadline : Mar 13 2017 - 12:00am Reminder: 3Q 2016 or 4Q 2016 eCQM Hospital Inpatient Quality Reporting (IQR) Program Submission Deadline : Mar 13 2017 - 12:00am 3Q 2016 or Fourth Quarter (4Q) 2016 eCQM (electronic Clinical Quality Measures) submission through the Centers for Medicare & Medicaid Services (CMS) Receiving System for Quality Reporting Data Architecture (QRDA) Category I Production Files is open through the deadline of March 13, 2017.For the complete down low, take a look at the updated Hospital IQR Program Important Dates and Deadlines and 3Q 2016 Checklist.For further assistance regarding the information contained in this message, please contact the Hospital Inpatient Value, Incentives, and Quality Reporting Outreach and Education Support Team at https://cms-ip.custhelp.com or (844) 472-4477.

    Event Reminder: 3Q 2016 or 4Q 2016 eCQM Hospital Inpatient Quality Reporting (IQR) Program Submission Deadline : Mar 13 2017 - 12:00am

    Reminder: 3Q 2016 or 4Q 2016 eCQM Hospital Inpatient Quality Reporting (IQR) Program Submission Deadline : Mar 13 2017 - 12:00am

    3Q 2016 or Fourth Quarter (4Q) 2016 eCQM (electronic Clinical Quality Measures) submission through the Centers for Medicare & Medicaid Services (CMS) Receiving System for Quality Reporting Data Architecture (QRDA) Category I Production Files is open through the deadline of March 13, 2017.
    For the complete down low, take a look at the updated Hospital IQR Program Important Dates and Deadlines and 3Q 2016 Checklist.
    For further assistance regarding the information contained in this message, please contact the Hospital Inpatient Value, Incentives, and Quality Reporting Outreach and Education Support Team at https://cms-ip.custhelp.com or (844) 472-4477.

Thursday, March 9

Wednesday, March 8

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    7:22pm EST
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    Saturday, April 8, 2017
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    10:16am EST

    The Centers for Medicare & Medicaid Services (CMS) and the Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach and Education Support Contractor have released an updated version of the QRDA Category I Conformance Statement Resource interactive educational resource. The updated version includes an overview and troubleshooting information for a total of 29 conformance errors. 

    When test or production QRDA Category I files are submitted for processing to the CMS data receiving system through the QualityNet Secure Portal, errors are identified with a conformance statement, or system-requirement specification. These statements are referred to with a CONF number. CONF numbers are generated to tell the data submitter why the file was rejected and unable to be processed. The Conformance Statement Resource was developed to assist data submitters with the resolution of the most common file-upload errors by providing additional explanations and reference material. Once those identified issues are resolved, the file should be resubmitted to the QualityNet Secure Portal to ensure the modified files are reprocessed.

    Data submitters may find benefit to retesting the QRDA Category I files utilizing the Pre-Submission Validation Application (PSVA) tool. This tool will ensure that the file format issues have been addressed before resubmitting the files to the test or production system within the QualityNet Secure Portal.

    The QRDA Category I Conformance Statement Resource can be found under the eCQM Resource section on the Quality Reporting Center website and, in the coming days, on the QualityNet website under the eCQM Resources and Information tab.

    Please do not respond directly to this email. For further assistance regarding the information contained in this message, please contact the Hospital Inpatient VIQR Outreach and Education Support Team at https://cms-ip.custhelp.com or (844) 472-4477, Monday through Friday, 8 a.m. – 8 p.m. ET.

    If additional assistance is required to troubleshoot QRDA Category I conformance statements, please contact the QualityNet Help Desk at qnetsupport@hcqis.org or (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.

Monday, February 27

Thursday, February 16

  • 3:37pm EST
    Event Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Feb 16 2017 - 4:00pm Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Feb 16 2017 - 4:00pm The Centers for Medicare & Medicaid Services (CMS) invites you to a “Cooking with Clinical Quality Language (CQL): or How to Incorporate CQL into Health Quality Measure Format (HQMF) for Electronic Clinical Quality Measures (eCQMs)” webinar.The Cooking with CQL series provides an interactive environment for measure developers. The upcoming session will feature open discussion from subject matter experts on the Measure Authoring Tool (MAT), show how to express measures using CQL and review prepared questions.To register for the webinar taking place on Thursday February 16, 2017 at 4:00 P.M. EST go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=e1ff826300eba99c9244b2bb1b24ebcd0 Please submit CQL related questions to cql-esac@esacinc.com. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org or 614-424-4855. 

    Event Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Feb 16 2017 - 4:00pm

    Reminder: Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar : Feb 16 2017 - 4:00pm

    The Centers for Medicare & Medicaid Services (CMS) invites you to a “Cooking with Clinical Quality Language (CQL): or How to Incorporate CQL into Health Quality Measure Format (HQMF) for Electronic Clinical Quality Measures (eCQMs)” webinar.

    The Cooking with CQL series provides an interactive environment for measure developers. The upcoming session will feature open discussion from subject matter experts on the Measure Authoring Tool (MAT), show how to express measures using CQL and review prepared questions.

    To register for the webinar taking place on Thursday February 16, 2017 at 4:00 P.M. EST go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=e1ff826300eba99c9244b2bb1b24ebcd0

    Please submit CQL related questions to cql-esac@esacinc.com. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org or 614-424-4855. 

Wednesday, February 15