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Electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) use data electronically extracted from electronic health records (EHRsinfo-icon) and/or health information technologyinfo-icon systems to measure the quality of health care provided. The Centers for Medicare & Medicaid Services (CMS) use eCQMs in a variety of quality reporting and value-based purchasing programs.

There are several benefits of using eCQMs

  •  eCQMs use detailed clinical data to assess the outcomes of treatment by healthcare providers and organizations
  •  eCQMs reduce the burden of manual abstraction and reporting for provider organizations
  •  eCQMs foster the goal of access to real-time data for bedside quality improvement and clinical decision support

Hospitals, professionals, and clinicians use eCQMs to provide feedback on their care systems and to help them identify opportunities for clinical quality improvement. eCQMs are also used in reporting to CMS, The Joint Commission, and commercial insurance payers in programs that reimburse providers based on quality reporting.

Find eCQMs:

Eligible hospitalinfo-icon (EH) and critical access hospitalinfo-icon (CAH) eCQMs and supporting materials are on the eligible hospital/critical access hospital page of this website.  

Eligible professionalinfo-icon (EP) and eligible clinicianinfo-icon eCQMs and supporting materials are on the eligible professional/eligible clinician page of this website.

Find Pre-rulemaking eCQMs:

CMS pre-rulemaking eCQMs include measures that are developed, but specificationsinfo-icon are not finalized for reporting in a CMS program.

Eligible hospital (EH) and critical access hospital (CAH) pre-rulemaking eCQMs.  

Eligible professional (EP) and eligible clinician pre-rulemaking eCQMs.

Report eCQMs:

For current CMS programs, eligible hospitalsinfo-icon, critical access hospitalsinfo-icon, eligible cliniciansinfo-icon, and/or eligible professionalsinfo-icon must use the most current version of eCQMs when reporting eCQMs. For hospital reporting guidance, visit QualityNet  and the Quality Reporting Center for specific program reporting education. For clinician reporting guidance, visit the Quality Payment Programwebsite and the Quality Payment Program Resource Library. For information about the Promoting Interoperability Program, refer to the CMS Promoting Interoperability Program webpage.

For HHS programs using eCQMs, refer to specific program requirements.eCQI Graphic for Healthcare Goals

Many different organizations may participate in the development and maintenance of eCQMsinfo-icon.The CMS Measures Management System is a standardized system and provides details on the process for developing and maintaining the quality measuresinfo-icon used in CMS's various quality reporting and initiative programs. Information on the CQMinfo-icon and eCQMinfo-icon development lifecycle is available in the Blueprint for the CMS Measures Management System (Blueprint) and on the eCQM Lifecycle webpage. The CQL Style Guide is for use by measure developersinfo-icon. It provides examples to standardize expression of measure concepts across eCQMs and define a uniform “look and feel” to eCQM logic using CQL. The Guide provides a set of common best practices for implementation across CQL-based eCQMs used in CMS quality reporting programs. 

eCQM Lifecycle:

The eCQM Lifecycle is a series of phases eCQMs progress through when being developed, tested, implemented, and updated. CMS provides several opportunities for stakeholders to engage throughout the measure lifecycle. 

Updates to eCQMs:  

CMS requires eCQMs approved for CMS programs to be updated annually to reflect changes in evidence-based medicine, code sets, and measure logic. CMS works with measure stewardsinfo-icon, measure developers, and users of the eCQMs to ensure necessary changes are reflected in the Annual Update. Additionally, CMS may provide addenda to the eCQM Annual Update periodically within the year to ensure updated code systems are reflected in the eCQM specificationsinfo-icon and supporting materials.

Structure of eCQMs:

To be reported from an EHRinfo-icon, eCQMs are made of electronic specifications. Health Quality Measure Format (HQMF), a Health Level Seven International (HL7info-icon) standard, is used for electronically documenting eCQM content. These electronic specifications include:

  • Computable representation of the eCQM: Contains important details about the measure, how the data elements are defined, and the underlying logic of the measure calculation. The files include
    • HQMF XML syntax. The HQMF includes a Header and a Body. The header identifies and classifies the document and provides important metadata about the measure. The body contains eCQM sections (e.g., definitions, population criteria, supplemental data elements).
    • Clinical Quality Language (CQL)
    • Expression Logical Model (ELM) XML document
    • ELM JavaScript Object Notation (JSON)

  • The Human-readable representation of the eCQM displays the eCQM content in a human-readable format directly in a web browser, Hyper Text Markup Language (HTMLinfo-icon) file (.html). This file does not include the underlying HQMF syntax, but the narrative content at the top of the HTML is extracted from the HQMF header.
  • A value setinfo-icon and a direct reference code (DRCinfo-icon) convey specific coded values that are allowed for the data elements within the eCQM. Value setsinfo-icon are identified by an object identifier (OID) and include several metadata elements. The value set includes a list of codes (i.e., the value set “expansion code set”) acceptable or valid for a specific data element in the measure, descriptors of those codes, the code systeminfo-icon from which the codes are derived, and the version of that code system. DRCsinfo-icon are specific codes that are referenced directly in the eCQM logic to describe a data element or one of its attributes. Value sets and DRCs are found in the  Value Set Authority Center (VSAC).   

Naming eCQMs:

CMS created a unique “CMS eCQM Identifier” to name eCQM files. The naming convention adds the eCQM identifier assigned to the eCQM in the Measure Authoring Tool (MATinfo-icon) with the “eCQM Version Number”. “CMS” is placed in front of the number. The eCQM Version Number is used to indicate the published version of the eCQM. For example, based on this naming convention, eligible professionalinfo-icon measure (NQFinfo-icon0056-Diabetes: Foot Exam) would be CMS123v1 for the first version of the measure.

eCQM Information


eCQM Identifier (MAT)


eCQM Version number


CMS eCQM identifier


The eCQMinfo-icon tools and resources provide a foundation for the development, testing, certification, publication, implementation, reporting, and continuous evaluation of quality measuresinfo-icon and their improvement. You can refine the tool list by selecting a category of interest and/or a role that best describes your needs, or you can also click a specific tool from the list below to view additional details.


Category: Development, Testing

Bonnieinfo-icon is a software tool that allows eCQMinfo-icon developers to test and verify the behavior of their eCQM logic. The Bonnie application allows measure developersinfo-icon to independently load measures that they have constructed using the MATinfo-icon and helps measure developers execute the measure logic against the constructed patient test deck and evaluate whether the logic aligns with the intent of the measure.

Bonnie User Group

Category: Development, Testing

The Bonnie User Groupinfo-icon is a community of users that benefit from shared experiences and questions. It allows the development team to easily reach out to the community for new releases, proposed features, and focus group opportunities. To join:

  • Navigate to!forum/bonnie
  • Sign in with a google account or create an account tied to an existing email address: under “Choose your username” click “I prefer to use my current email address.”
  • Click “Join group”

Binding Parameter Specification (BPS)

Category: Implementation

The value setinfo-icon Binding Parameter Specificationinfo-icon (BPSinfo-icon) is generated by the National Library of Medicine (NLM) and is a record of the value set metadata information that defines the code lists specified by current CMS eCQMsinfo-icon. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQMinfo-icon release. Users can access the BPS metadata file for any released set of CMS eCQM value set files through the NLM's Value Set Authority Center Downloadable Resources.

CDS Connect

Category: Continuous Evaluation/Feedback, Development, Implementation

Clinical Decision Support (CDSinfo-icon) Connect is a tool that is a web-based repository service which enables the 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.

Certified Health IT Product List (CHPL)

Category: Certification, Implementation

Certified Health ITinfo-icon Product List (CHPLinfo-icon) is a comprehensive and authoritative listing of all Health Information Technologyinfo-icon certified by the ONC Health IT Certification program. All products listed are tested by an ONC-Authorized Testing Lab (ONC-ATL) and certified by an ONC-Authorized Certification Body (ONC-ACB) to meet criteria adopted by the Secretary of the Department of Health and Human Services (HHS). For additional information on how to navigate the CHPL, please refer to the CHPL Public User Guide.

Clinical Quality Framework

Category: Continuous Evaluation/Feedback

The Clinical Quality Frameworkinfo-icon is a collaborative community of participants from the public and private sectors focused on providing tools, services and guidance to facilitate the harmonizationinfo-icon of standards for clinical decision support (CDSinfo-icon) and electronic clinical quality measuresinfo-icon (eCQMinfo-icon) use in clinical quality improvement.

Clinical Quality Language (CQL)

Category: Development

Clinical Quality Language (CQL)info-icon is an HL7info-icon standard for trial use (STUinfo-icon) and it is part of the effort to harmonize standards between electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) and clinical decision support (CDSinfo-icon). CQL provides the ability to express logic that is human readable yet structured enough for processing a query electronically.

CMS Measures Inventory Tool (CMIT)

Category: Development, Implementation

CMS Measures Inventory Tool (CMITinfo-icon) is a repository for information about CMS measures. CMS and its partners use the inventory to inform stakeholders, to manage its measure portfolio, and to guide measure development. The functions allow users to find measures quickly, to compile and refine sets of related measures, to identify measures across the continuum of care, and will help coordinate measurement efforts across all conditions, settings, and populations.

CMS Quality Reporting Document Architecture (QRDA) Implementation Guides (IGs)

Category: Reporting

The CMS Quality Reporting Document Architecture (QRDA)info-icon Implementation Guides (IGs) are based on the HL7info-icon QRDA IGs. CMS's QRDA Category I IG is used for Hospital Quality Reporting (HQR), and CMS's QRDA Category III IG is used for the Eligible Cliniciansinfo-icon and Eligible Professionals Programs that address aggregate reporting requirements for Comprehensive Primary Care Plus (CPC+) and Merit-Based Incentive Payment System (MIPS) programs.

CMS QRDA Pre-Submission Validation Tools Guide

Category: Reporting

The CMS Quality Reporting Document Architecture (QRDA)info-icon Pre-Submission Validation Tools Guide is a resource which offers 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:

  • Cypressinfo-icon QRDA Validation Utility
  • Pre-Submission Validation Application (PSVAinfo-icon)
  • CMS Data Receiving System, within the QualityNetinfo-icon Secure Portal

CMS QualityNet Data Receiving Systems Edits Document

Category: Reporting

Each year, the electronic clinical quality measure (eCQM) Data Receiving System Edits Document is developed to provide greater insight into the error messages generated by the CMS data receiving system when test and production Quality Reporting Document Architecture (QRDA)info-icon Category I files are submitted to the CMS receiving system within the QualityNet Secure Portal.

CQL Formatting and Usage Wiki

Category: Development, Implementation

The Clinical Quality Language (CQL) Formatting and Usage Wiki is a collaborative workspace for the development of CQL formatting conventions and usage patterns for the representation of logic within quality measures. All users have edit rights to be able to submit edits, add comments and concerns. Items on the Wiki are a work in progress and subject to change. 

CQL Formatting and Usage Wiki - eCQM Known Issues

Category: Development, Implementation, Reporting

The eCQMinfo-icon Known Issues is a section in the Clinical Quality Language (CQL)info-icon Formatting and Usage Wiki that provides a listing of known issues relative to CQL-Based eCQM support.

CQL Style Guide

Category: Development

The CQL Style Guide provides standardize expressions of measure concepts across eCQMsinfo-icon and defines a uniform “look and feel” to eCQMinfo-icon logic using CQL. The guide focuses on a set of common best practices that have been implemented across CQL-based eCQMs in CMS quality reporting programs. The style guide also promotes the use of consistent language within the framework of CQL, including libraries, aliases, definitions, and functions, as well as guidance on other conventions, such as operator precedence. Measure stewardsinfo-icon or developers who are developing or specifying eCQMs for future inclusion in CMS programs should align with these best practices.

CQL-to-ELM Translator Reference Implementation

Category: Development, Implementation

The CQL-to- ELM Translator is a specificationinfo-icon that describes a formal mechanism for translating the high-level CQL syntax into the canonical called Expression Logical Model (ELM) representation. The reference implementation is intended to be used in support of CQF implementations as a tool to enable CQL output to be uniformly and automatically translated into ELM XML or JSON documents for sharing and distribution to support implementation, integration, translation, and execution of CQL-based artifacts.


Category: Certification, Implementation, Testing

Cypressinfo-icon is an open source testing tool used by vendors to certify their EHRs and health information technology (IT) modules for calculating eCQMs. Cypress is an official testing tool for the ONC EHR Certification Program. Testing involves Cypress generating synthetic patient records for the subset of published eCQMsinfo-icon selected for certification and testing the ability of the EHRinfo-icon systems and health IT modules to accurately record, import, calculate, filter, and report eCQMs.

Cypress Tech Talks

Category: Continuous Evaluation/Feedback, Implementation

The Cypress Tech Talksinfo-icon are an open forum for discussing technical implementation and tool issues with the Cypress support team.

Cypress Validation Utility (CVU)

Category: Certification, Reporting, Testing

The Cypress Validation Utility (CVU) conformance tool provides implementers with the ability to validate the conformance of QRDA Category I and Category III documents to the 2018 and 2019 CMS implementation guides.

eCQI Resource Center

Category: Implementation

The eCQI Resource Centerinfo-icon is a website which provides eCQI resources and connections with the community of professionals who are dedicated to electronic clinical quality improvement for better health. It provides eCQM electronic specifications along with tool and resource links. It serves as “the one-stop shop for the most current resources to support electronic clinical quality improvement.”

eCQM Calculations Libraries and Technical Services

Category: Continuous Evaluation/Feedback, Testing

The eCQM Calculations Libraries and Technical Servicesinfo-icon are open source libraries which provide support for loading and calculating eCQMsinfo-icon, generating Quality Data Model (QDM) types, and other libraries related to Clinical Quality Language (CQL) and Fast Healthcare Interoperability Resources (FHIR). Many of the libraries listed below are used within the Bonnieinfo-icon and Cypressinfo-icon tools and are actively supported. 

CQM Models: A software library containing auto generated models based off of QDM.
CQM Execution: NPM module for calculating eCQMS written in CQL, using the CQMinfo-icon-Models library
CQM Reports: A library for import and export of reports for use with eCQMs.
CQM Parsers : A library for parsing CQL-based HQMF documents and parsing Measure Authoring Tool (MATinfo-icon) eCQMinfo-icon packages into models based off of the CQM-Models library.
CQM Validators: A library for QRDA validation. It contains Schematron validators, and validators for QRDA-specific features (measure IDs, performance rates, result extraction, etc).
CQM Execution Service: A Dockerized Node-based service for calculating eCQMs which uses the CQM Execution module.
CQL Execution: A JavaScript CQL Execution framework that can execute CQL artifacts expressed as JSON ELM.
CQL to ELM Translation Service: A microservice wrapper for the CQL to ELM conversion library.
CQL Exec FHIR: A FHIR-based data source module for use with the CQL Execution Engine.

eCQM Flows

Category: Implementation

The eCQM Flowsinfo-icon are flowcharts designed to assist in interpretation of the eCQMinfo-icon logic and calculation methodology for reporting rates. These flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numeratorinfo-icon).

eCQM Logic and Implementation Guidance

Category: Implementation

The eCQM Logic and Implementation Guidanceinfo-icon is a resource document which provides guidance for understanding, using, and/or implementing eCQMsinfo-icon.

Federal Register

Category: Continuous Evaluation/Feedback

The Federal Registerinfo-icon is the official daily publication for rules, proposed rules, and notices of federal agencies and organizations, as well as executive orders and other presidential documents. The Federal Register is published by the Office of the Federal Register, National Archives and Records Administration (NARA). 

Category: Reporting

The Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC) released guidance for reporting diagnostic test data in the Diagnostic Study Performed (V4) template of Quality Reporting Document Architecture (QRDA) Category I files. This affects the electronic clinical quality measureinfo-icon (eCQMinfo-icon) CMS31v6 - Hearing Screening Prior To Hospital Discharge only. The 2018 CMS QRDA Category I Implementation Guide (IG) for Hospital Quality Reporting allows for two ways of reporting the result of a diagnostic test in the Diagnostic Study Performed (V4) template:

  1. Using the element “value” inherited from its parent template Procedure Activity Observation (V2), or
  2. Using the contained template Result Observation (V3).

For 2018 reporting, CMS has aligned with TJC to only use the first option. Result data for the Diagnostic Study Performed template must be in the value element in order to be processed by CMS.

Result data provided in the template Result Observation (V3) will not be used by the QualityNetinfo-icon data receiving system during measure calculation of CMS31v6. The QRDA file will not be rejected, nor will a warning be returned, if the Result Observation (V3) template is used, and that the measure outcome of CMS31v6 from CMS may not match what is expected.

Guide for Reading eCQMs

Category: Implementation

The Guide for Reading eCQMs is a resource to assist stakeholders in interpreting and understanding eCQMsinfo-icon. The guide provides information on eCQMs such as file naming conventions, understanding an eCQMinfo-icon human-readable rendition, value setsinfo-icon, QDM data criteria, and more.

Health IT Certification for eCQM Reporting

Category: Implementation

The ONC Health Information Technologyinfo-icon (IT) Certification Program is a voluntary certification program established by ONC to provide for the certification of health ITinfo-icon standards, implementation specificationsinfo-icon, and certification criteria adopted by the Health and Human Services (HHS) Secretary. 

Health Quality Measure Format (HQMF)

Category: Development

Health Quality Measure Format (HQMF)info-icon is an HL7info-icon standards-based representation of a quality measureinfo-icon as an electronic document. A quality measure expressed in this way is also referred to as an electronic clinical quality measure (eCQMinfo-icon).

HL7 Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF) Implementation Guide (IG)

Category: Development

The CQL-based HQMF IG constrains the HL7info-icon HQMF IG by utilizing both a domain analysis model called the Quality Data Model (QDM)info-icon and an expression logic called CQL. QDM allows quality measureinfo-icon developers to describe clearly and unambiguously the data required to calculate quality measuresinfo-icon. QDM data types are mapped to the HQMF templates. CQL allows the sharing of unambiguous logic among eCQMsinfo-icon and can be used with multiple data models.

HL7 Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG)

Category: Reporting

The HL7info-icon Quality Reporting Document Architecture Category I Implementation Guide (HL7 QRDA I IG) describes constraints on HL7's Clinical Document Architecture Release 2 (CDA R2) to create a QRDA I document. QRDA Category I is for reporting quality data at the individual patient level.

HL7 Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG)

Category: Reporting

The HL7info-icon Quality Reporting Document Architecture Category III Implementation Guide (HL7 QRDA III IG) describes constraints on HL7's Clinical Document Architecture Release 2 (CDA R2) to create a QRDA III document. QRDA Category III is for reporting aggregated quality measureinfo-icon data.

Measure Authoring Tool (MAT)

Category: Development

The Measure Authoring Tool (MATinfo-icon) is a web-based tool that allows measure developersinfo-icon to author eCQMsinfo-icon using Clinical Quality Language (CQL) and the Quality Data Model (QDM)info-icon. The MAT provides the capability to express complex measure logic and export measures in several formats.

Measures Management System (MMS)

Category: Development

The Measures Management System (MMS)info-icon is a standardized system for developing and maintaining the quality measuresinfo-icon used in CMS’s various quality initiatives and programs. The primary goal of the MMS is to provide guidance to measure developersinfo-icon to help them produce high-caliber healthcare quality measures.

Measures Management System (MMS) Blueprint

Category: Continuous Evaluation/Feedback, Development, Implementation, Testing

The Measures Management System (MMS) Blueprintinfo-icon is a guidance document which provides a standardized system for developing and maintaining the quality measuresinfo-icon used in various quality initiatives and programs. The Blueprint includes information on Measure Development Concepts, Measure Lifecycle, eCQMinfo-icon Lifecycle, as well as Tools, Appendices, and Forms.

NCQA eCQM Certification Program

Category: Certification, Implementation, Testing

The National Committee for Quality Assurance (NCQA) eCQMinfo-icon Certification Program uses ONC-approved methodology for testing Health ITinfo-icon's ability to create accurate eCQMsinfo-icon. The NCQA eCQM Certification Programinfo-icon is for use in the ONC HIT Certification Program and is approved as an Authorized Test Lab (ATL).

NCQA eCQM Crosswalk

Category: Certification, Implementation, Testing

The National Committee for Quality Assurance (NCQA) eCQMinfo-icon crosswalk identifies eCQMsinfo-icon that are tested under the NCQA eMeasure (eCQM) Certification program, accepted in the NCQA Patient Centered Medical Home Recognition Program, as well as those selected as core America’s Health Insurance Plans (AHIP)/CMS eCQMs and used within NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) reporting. 


NQF Quality Positioning System (QPS)

Category: Implementation

The National Quality Forum (NQFinfo-icon) Quality Positioning System (QPS) is a web-based inventory tool developed by the NQF to help people select and use NQF-endorsed measures. It allows a user to search for NQF-endorsed measures in a number of ways: export search results and view types of measures. Using QPS, a user can find NQF-endorsed measures on particular topics, track and get reminders about measures that are important to them, provide feedback on measures, and see which measures others are using.

ONC Project Tracking System (Jira)

Category: Certification, Continuous Evaluation/Feedback, Development, Implementation, Testing

Jira is a collaboration platform hosted by the HHS’s Office of National Coordinator for Health Information Technologyinfo-icon (ONC) which supports the implementation of health information technology. It provides internal and external users with a common place to transparently log, prioritize, and discuss issues with appropriate subject matter experts on many topics. CMS uses Jira during most phases of the eCQMinfo-icon measure lifecycle, including development, implementation, and maintenance.

Pioneers in Quality

Category: Implementation

Pioneers in Qualityinfo-icon is a Joint Commission program to assist hospitals on their journey towards electronic clinical quality measureinfo-icon adoption including educational programs (e.g., webinars for CEUs), a resource portal, recognition categories, an advisory council, a modified annual report, speaker’s bureau outreach, a peer–to–peer solution exchange, as well as having a strong focus on partnering with hospitals to provide the highest level of quality care for patients and their families.


Category: Reporting

popHealthinfo-icon is an open source software tool that can automate the reporting of summary quality measuresinfo-icon and streamline the exchange of summary quality data. popHealth can be used by developers to better understand quality measurement and reporting. The tool has also proven valuable for its individual parts: standardized data importer/exporter, user interface, and most importantly its quality measureinfo-icon engine, which is technology shared with Cypressinfo-icon.

Pre-Submission Validation Application (PSVA)

Category: Reporting, Testing

The Pre-Submission Validation Application (PSVAinfo-icon) is an application program interface (API) which provides vendors, hospitals, and providers with a method for validating eCQMinfo-icon files within their own system/environment prior to submission and for securely transporting valid files to the Centers for Medicare & Medicaid Services (CMS). The PSVA tool has three interfaces as part of the download package and a user is able to select the option that best meets their needs.

Quality Payment Program (QPP) Developer Tools

Category: Reporting

The Quality Payment Program (QPP) Developer Tools allow industry developers, who build software for participating clinicians, to integrate their software directly with CMS applications and data. Available tools include Submissions Application Programming Interface (API), Measures, Activities, and Benchmarks Repository, Submissions Schemas, and QRDA III Conversion Tool Open Source Package. These include documentation for reporting eCQMsinfo-icon used in the QPP program through QRDA III, QPP JSON, or QPP XML formats.

Quality Payment Program (QPP) Resource Library

Category: Reporting

The Quality Payment Program (QPP) Resource Library is the one-stop shop for all QPP resources. It provides educational materials that support clinicians’ participation in QPP. 

Key 2019 resources include
MIPS Participation & Eligibility Fact Sheet
Quality Payment Program Access Guide
MIPS Measure Specificationsinfo-icon, Quality Benchmarks, MIPS Data Validation Criteria, and Technical User Guides 
QPP Final Rule Overview Fact Sheet and Executive Summary

All QPP webinar resources, including slides, transcripts and recordings from recent presentations, can be found on the QPP Webinar Library.

QRDA Category I Conformance Statement Resource

Category: Reporting

The Quality Reporting Document Architecture (QRDA)info-icon Category I Conformance Statement Resource assists data submitters in resolving file upload errors by providing additional explanations and reference material to support successful submission. Since Calendar Year 2017, QRDA Category I files are submitted by Eligible Hospitalsinfo-icon (EHs) to fulfill a portion of the mandatory eCQMinfo-icon reporting requirements for the CMS Hospital Inpatient Quality Reporting (IQR) and Promoting Interoperability Programs.

QRDA III Converter

Category: Reporting, Testing

The Quality Reporting Document Architecture (QRDA)info-icon III Converter tool converts QRDA III files to the QPP JSON (JavaScript Object Notation) format for Quality Payment Program (QPP) data submission. The tool can also be used to test whether QRDA III files can be consumed by QPP and allows you to see whether it complies with the most current QRDA III Implementation Guide and can be successfully submitted to QPP.

Quality Data Model (QDM)

Category: Development

The Quality Data Model (QDM)info-icon is an information model that defines relationships between patients and clinical concepts in a standardized format to enable electronic quality performance measurement. The model is the current structure for electronically representing quality measureinfo-icon concepts for stakeholders involved in electronic quality measurement development and reporting.

Quality Reporting Document Architecture (QRDA)

Category: Reporting

The Quality Reporting Document Architecture (QRDA) is a standard document format for the exchange of electronic clinical quality measure (eCQM) data.


Category: Implementation, Reporting

QualityNetinfo-icon is a website which provides healthcare quality improvement news, resources and data reporting tools, and applications. QualityNet is the only CMS-approved site for secure communications and healthcare quality data exchange between healthcare organizations and facilities.

Technical Release Notes (TRN) - eCQM Eligible Hospital/Critical Access Hospital

Category: Implementation

The Technical Release Notes (TRN) for Eligible Hospitalinfo-icon and Critical Access Hospitalinfo-icon eCQMsinfo-icon are resource files which provide an overview of technical changes in the eCQM Annual Update and addenda.

Technical Release Notes (TRN) - eCQM Eligible Professional/Clinician

Category: Implementation

The Technical Release Notes (TRN) for Eligible Professionalinfo-icon/Clinician eCQMsinfo-icon are resource files which provide an overview of technical changes in the eCQM Annual Update and addenda.

Unified Medical Language System® (UMLS®)

Category: Development

The Unified Medical Language System® (UMLS®info-icon) is a set of files and software that bring together health and biomedical vocabularies and standards to enable interoperability between computer systems. UMLS® is used to enhance or develop applications, such as electronic health records, classification tools, dictionaries and language translators. Use of UMLS® allows end users to view codes used in value setsinfo-icon such as CPT and ICD-10.

The United States Health Information Knowledgebase (USHIK)

Category: Implementation

The United States Health Information Knowledgebase (USHIK) is a registry and repository of health care-related metadata, specificationsinfo-icon, and standards. The CMS Quality Programs portal provides the ability to view, download, and compare eCQMinfo-icon specifications, data elements, value setsinfo-icon, and codes released by CMS and National Library of Medicine. Each eCQM release package is available in a single file, or can be downloaded as eligible hospitalinfo-icon, eligible professionalinfo-icon, and individual measure packages.

Value Set Authority Center (VSAC)

Category: Development, Implementation

The Value Setinfo-icon Authority Center (VSACinfo-icon) is a central repository for the official versions of value setsinfo-icon that support the electronic clinical quality measuresinfo-icon. The National Library of Medicine maintains the VSAC and provides downloadable access to the value sets and the Binding Parameter Specificationinfo-icon. The VSAC provides measure developersinfo-icon with tools to search existing value sets, create new value sets, and maintain value set content consistent with current versions of the terminologies they use.

VSAC Collaboration Tool

Category: Development

The Value Setinfo-icon Authority Center (VSACinfo-icon) Collaboration Tool provides a central site where value set authors can post value setsinfo-icon for collaborative discussion. Teams can share threaded discussions about the value sets, view recent value set expansions posted by site members, organize their value sets by usage and by team’s workflow needs, collaborate with other measure developersinfo-icon to harmonize value sets, and receive activity and change notifications from VSAC.

Get Involved:

CMS provides several opportunities to provide input on eCQMinfo-icon development and updates, public calls for measures, comments on measures under development, and participation on technical expert panels. Visit the CMS Measures Management System Get Involved webpage and the Engage in eCQI page for a list of current opportunities.

Provide Feedback:

CMS, through the ONC Project Tracking System (Jira), allows stakeholders to submit issues with eCQM implementation and development and receive feedback. Submit eCQM technical questions to the eCQM Issue Tracker.

Seek Help:

Information on various helpdesks and tools for eCQM help is found on the eCQI Resource Center Contact Us page.

Last Updated: May 23, 2019