eCQM Tool Library

The eCQM tools and resources referenced in this section are openly available and are provided for stakeholder use. They provide a foundation for the development, testing, certification, implementation, reporting, and continuous evaluation of quality measures and their improvement.

Category: Implementation

Binding Parameter Specification (BPS) document The Value Set Binding Parameter Specification (BPS), generated by the National Library of Medicine (NLM), is a record of the value set binding information that defines the value set code lists specified by released CMS eCQMs. Changes between BPS documents reflect corresponding changes in the resulting value set code lists. Likewise, if value...

Category: Development, Testing

Bonnie is a tool for testing electronic clinical quality measures (eCQMs). This tool is designed for use by measure developers as part of their development process and validates that the eCQM logic matches the measure’s intent. Bonnie uses patient scenarios to represent each logic component of the measure specification such as the IPP, denominator, numerator, exclusions, etc. Health IT...

Category: Development, Testing

This user group is a community of Bonnie users that benefit from one another’s experience and questions, and allows the development team to easily reach out to the community regarding new releases, proposed features, and focus group opportunities.  Follow these instructions to join:

Category: Continuous Evaluation/Feedback, Development, Publication

The CDS Connect Project demonstrates a web-based repository service to enable the Clinical Decision Support (CDS) community to identify evidence-based standards of care, translate and codify information into an interoperable standard, and leverage tooling to promote a collaborative model of CDS development....

Category: Development, Testing

Cedar is a free, open source tool for testing the strength of Electronic Clinical Quality Measure (eCQM) collection systems that receive Quality Reporting Document Architecture (QRDA) files.

Category: Certification

The Certified Health IT Product List (CHPL) is a comprehensive and authoritative listing of all certified Health Information Technology which has been successfully tested and certified by the ONC Health IT Certification program. All products listed on the CHPL have been tested by an ONC-Accredited Testing Laboratory (ONC-ATL) and certified by an ONC-Authorized Certification Body (ONC-ACB) to...

Category: Continuous Evaluation/Feedback

CQF Framework is a collaborative community of participants from the public and private sectors focused on providing the tools, services and guidance to facilitate the functional exchange of health information.  CQF framework focuses on identifying, defining, and harmonizing electronic standards that promote integration between CDS and eCQM.

Category: Publication

The CMS Measures Inventory Tool (CMIT) is an interactive web-based application that contains the same information that is currently included on the Excel spreadsheet. The intuitive and user-friendly functions allow you to find measures quickly and to compile and refine sets of related measures. The tool increases transparency and can be used to identify measures across the continuum of...

Category: Reporting

This interactive tool details the different aspects of multiple QRDA validation tools that are available to submitters.  It is intended to give users a single point of reference for these tools and assist them in selecting the most appropriate tool to meet their individual needs.  The tool covers:

  • Cypress QRDA Validation Utility
  • Pre-Submission Validation Application (PSVA)...
Category: Reporting

The eCQM 2017 CMS Receiving System Edits Document, XLS-330 KB (11/21/17) is a resource which provides greater insight into the conformance error messages and system edits....

Category: Development, Implementation

CQL Online is a tool developed by ESAC, Inc. to provide a "sandbox" where Electronic Clinical Quality Measure (eCQMs) developers and implementers can "play" around with the Clinical Quality Language (CQL). The tools allows users to get a feel for what CQL looks like and how to write proper expressions in this new and powerful language.

More specifically, CQL Online is a syntax directed...

Category: Implementation

The HL7 CQL specification defines both a high-level, author friendly syntax for expressing clinical knowledge, as well as a machine friendly, syntax-independent canonical representation of clinical knowledge called Expression Logical Model (ELM). The high level syntax is designed to support measure and decision support authors, while the canonical...

Category: Certification, Testing

Cypress is an open source certification testing tool for evaluating and testing the accuracy of eCQM measure calculations in EHR systems and EHR modules. Cypress serves as the official eCQM testing tool for the 2014 and 2015 EHR Certification programs by the Office of the National Coordinator for Health IT (ONC). Learn more about the Cypress Tool by visiting the Cypress...

Category: Continuous Evaluation/Feedback

Cypress Tech Talks are an open forum for discussing technical implementation and tool issues with the Cypress team.

Category: Certification, Testing

The Cypress QRDA Validator provides implementers with the ability to validate the conformance of QRDA Category I and Category III documents to the following CMS implementation guides:

2016 (EP/EH)

2017 (EP/EH)

2018 (EH Only)


The Cypress QRDA Validator provides implementers with the ability to...

Category: Implementation

This webpage designed to support the eCQI implementation activities of the entire care team.

Category: Publication

This website providing eCQI resources and connection with the community of professionals who are dedicated to clinical quality improvement for better health.  Provides eCQM electronic specifications and their updates along with tool and resource links.  “The one-stop shop for the most current resources to support electronic clinical quality improvement.”

Category: Continuous Evaluation/Feedback, Testing

The following open source resources are available for stakeholder use. 
fhir-patient-api maps the current Quality Data Model (QDM) based eCQMs to FHIR resources.

node-qme a “patient source”, which is responsible for using the fhir-patient-api to retrieve patients from a...

Category: Implementation, Reporting

These Igs are developed by CMS to support Quality Reporting Document Architecture (QRDA) Implementation for Eligible Professionals, Eligible Clinician and Eligible Hospitals for eCQM reporting.

Category: Implementation

These IGs are developed and published to provide a standard structure to construct a quality measure including metadata, data criteria, population criteria, etc. based on the QDM.