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Now Accepting Public Comments through March 28, 2024 on the Draft 2025 CMS QRDA I Implementation Guide and Schematron for Hospital Quality Reporting

The Centers for Medicare & Medicaid Services (CMS) has posted the draft 2025 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) and Schematron for Hospital Quality Reporting (HQR). The public comment period begins on March 7, 2024, and ends at 5 p.m. eastern time (ET) on March 28, 2024.

The 2025 CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals to report electronic clinical quality measures (eCQMs) for the calendar year 2025 reporting period. The 2025 CMS QRDA I IG uses the same base Health Level Seven International® (HL7) QRDA I standard as the 2024 CMS QRDA I IG.

Changes to the draft 2025 CMS QRDA I IG:
•    Updates to support the 2025 reporting period
•    Updates validation rule CMS_0084 on the Medicare Beneficiary Identification Number (MBI) requirement for hybrid measures
•    Removal of section 6.1 Submitting the encounter id associated with a CCDE

Instructions for submitting comments:
•    Review the ONC Project Tracking System (Jira) ticket number: QRDA-1202
•    You must have a JIRA account to submit a comment
•    We are accepting comments until 5:00 p.m. ET on March 28, 2024

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 2025 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.

Last Updated: Mar 07, 2024