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 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


Electronic Clinical Quality Measure (eCQM) Standards and Tool Versions

EHR Incentive
Program Edition
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
2014 2017 EH April 2016

EP April 2016
V4.3.1 V1.12 V3.0 V1.4.8 (support for QDM 4.2) Aug 2015 V4.2 R1.3 R2.1 QRDA I, DSTU R3.1

QRDA III, STU R2
Eligible Hospitals 07/08/2016

EP/Eligible Clinicians 12/29/2016
2014 2016 EH June 2015

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

QRDA III, DSTU R1
07/08/2015 V1.0

Appendix 02/26/2016
2014 2015 EH April 2014

EP July 2014
V3.1.2 V1.7 EH

V1.9 EP
V2.6.1 (supports HL7 QRDA R2) July V1.0 Sept 2014 V4.1.1

July 2014 V4.1

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

QRDA III, DSTU R1 (and June 2014 Errata)
07/29/2014 V1.0

Addendum 07/08/2015
2014 2014 EH April 2013

EP June 2013
V1.1.1 V1.3 EH

V1.5 EP
V2.4.1 N/A Dec 2012 HQMF Templates N/A R1 QRDA I, DSTU R2

QRDA III, DSTU R1
EH 04/21/2014 V2.2

EP QRDA I 04/18/2014 V4.0

EP QRDA III 4/18/2014 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, 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

Tuesday, February 7

  • Your profile picture
    3:44pm EST

    Getting Started

    Q. Where is the eCQI Resource Center?

    A.https://ecqi.healthit.gov/

    Q. How do we sign up for the QDM measure development workgroups? How do I sign up for the upcoming QDM events?

    A. The CQM QDM is coordinated by a QDM User Group that responds to requests for additional clarification or content from measure developers and others submitting information to the ONC JIRA tracking system QDM section. Please visit the eCQI Resource Center QDM page for further information and to register for the QDM User Group.

    Q. How does a person get involved in the QDM project testing, developing measures in QDM?

    A. Measure developers use QDM to develop eCQMs in the Measure Authoring Tool (MAT). The QDM documentation provides guidance for how to use the information model to express eCQM content. Please visit the eCQI Resource Center QDM page to learn about QDM and to register for the QDM User Group.

    Q. Where do I post any questions or issues I may have with the QDM expression logic?

    A. You can create an account on the ONC JIRA tracking system at oncprojectracking.healthit.gov. Once you are logged in, click Projects from the top menu bar and chose “QDM Issue Tracker (QDM)” from the dropdown menu. Click “Create” and enter any necessary details of your question or issue. Alternatively, you can email your question to qdm@esacinc.com.

    Q. Is there a glossary of all the abbreviations for those of us that are novices?

    A. Many of the acronyms are found on the eCQI Resource Center Glossary of eCQI Terms. We will be updating and adding new terms relating to the QDM measure in the future. If you see acronyms that are not explained the Glossary, please send us a note at ecqi-resource-center@hhs.gov.

    Back to top

    Quality Data Model (QDM)

    Q. What is the QDM?

    A. The QDM is an information model...

    Read more

Wednesday, February 1

Tuesday, January 31

Thursday, January 26

  • 3:37pm EST
    Event Reminder: Updated Agenda - Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs : Jan 26 2017 - 4:00pm Reminder: Updated Agenda - Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs : Jan 26 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 January 26, 2017 at 4:00 P.M. EST go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=ec9fc4454980126fe91eaabc5c47977aePlease 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: Updated Agenda - Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs : Jan 26 2017 - 4:00pm

    Reminder: Updated Agenda - Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs : Jan 26 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 January 26, 2017 at 4:00 P.M. EST go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=ec9fc4454980126fe91eaabc5c47977ae

    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. 

  • Your profile picture
    10:13am EST
    Too many differences to list. See Revisions for details.

Tuesday, January 24

  • 12:54pm EST
  • 12:41pm EST
    Changes to Description
    -
    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 February 28, 2017.
    +
    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 [1] and 3Q 2016 Checklist [2].
     
    For the complete down low, take a look at the updated Hospital IQR Program Important Dates and Deadlines [1] and 3Q 2016 Checklist [2].
    Changes to Geocoded Location
      +
    POINT (4.8091029 52.6930156)
     
     
    Changes to Event Date
    -
    Tuesday, February 28, 2017 (All day)
    +
    Monday, March 13, 2017 (All day)
    Read more

Wednesday, January 18

  • 2:07pm EST
    Event Reminder: CANCELLED : Jan 18 2017 - 2:30pm Reminder: CANCELLED : Jan 18 2017 - 2:30pm The QDM User Group Webinar planned for January 18, 2017 has been cancelled due to a conflict with the HL7 WG Meeting in San Antonio. 

    Event Reminder: CANCELLED : Jan 18 2017 - 2:30pm

    Reminder: CANCELLED : Jan 18 2017 - 2:30pm

    The QDM User Group Webinar planned for January 18, 2017 has been cancelled due to a conflict with the HL7 WG Meeting in San Antonio.

     

Tuesday, January 17

Sunday, January 15

Friday, January 13

Thursday, January 12

Tuesday, January 10