Now Accepting Public Comments on the Draft 2026 CMS QRDA I Implementation Guide (IG) for Hospital Reporting
The Centers for Medicare & Medicaid Services (CMS) has posted the draft 2026 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) for Hospital Quality Reporting (HQR) for public comment starting on April 4, 2025, and ending at 5 p.m. eastern time (ET) on April 25, 2025. The 2025 CMS QRDA I IG outlines requirements for hospitals to report electronic clinical quality measures (eCQMs) for the calendar year 2026 reporting period. Visit the QRDA Issue Tracker on the ONC Project Tracking System (Jira) website to submit comments.
The 2026 CMS QRDA I IG uses the same base Health Level 7 (HL7) QRDA I standard as the 2025 CMS QRDA I IG.
The draft 2026 CMS QRDA I IG contains updates to support the 2026 reporting period.
Information about submitting comments:
- Ticket number: QRDA-1287
- You must have a JIRA account to submit a comment.
- We are accepting comments until 5:00 p.m. ET on April 25, 2025.
Please note, this is a draft document, and the contents are subject to change. Contents may change based on final rules and your comments. We look forward to receiving your feedback on the draft 2026 CMS QRDA I IG.
Additional QRDA-Related Resources:
To find out more about QRDA and eCQMs, visit the Electronic Clinical Quality Improvement (eCQI) Resource Center.
For questions related to the QRDA Implementation Guides and/or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.