Now Available - Updated CY 2018 CMS QRDA I Schematron for Hospital Quality Reporting

January 3, 2018 - 2:24pm

The Centers for Medicare & Medicaid Services (CMS) has published an updated schematron for the 2018 CMS Quality Reporting Document Architecture (QRDAinfo-icon) Category I Implementation Guide (IG) for Hospital Quality Reporting. This guidance is for electronic clinical quality measureinfo-icon (eCQMinfo-icon) submissions for calendar year (CY) 2018 and QRDA Category I files only. QRDA Category I file submissions are for the following:

  • Hospital Inpatient Quality Reporting (IQR) Program
  • Medicare and Medicaid Electronic Health Record (EHRinfo-icon) Incentive Program for Eligible Hospitalsinfo-icon and Critical Access Hospitals

The updated schematron addresses an issue in the implementation of the QRDA I conformance statement CONF:CMS_0009 which states that a patient identifier other than the Medicare Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI) must be present in the recordTarget element. Prior to the schematron update, a file submitted without an additional patient identifier would not be flagged in error.

This update ensures the presence of the additional patient identifier beyond HICN and MBI.

Please visit the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page for the updated Schematron file.

Additional QRDA-Related Resources:

Additional QRDA-related resources, as well as current and past implementation guides, are found on the eCQI Resource Center QRDA page.

For questions related to this guidance, the QRDA Implementation Guides or Schematrons, visit the ONC QRDA JIRA Issue Tracker.

Last Updated: January 3, 2018