Now Available: 2022 CMS QRDA I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting (HQR)

The Centers for Medicare & Medicaid Services (CMS) has published the 2022 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting (HQR). The 2022 CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals (CAHs) to report electronic clinical quality measures (eCQMs) for the calendar year 2022 reporting period for the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability Programs for Eligible Hospitals and CAHs.

The 2022 CMS QRDA I IG contains these high-level changes compared with the 2021 CMS QRDA I IG:

• Updates to section 5.2.3.2 Reporting “unit” for Result Value
• Addition of section 6.1 Reporting Result “unit” for Hybrid Measures

The 2022 CMS QRDA IG uses the same base standard, Health Level Seven International® (HL7®) Clinical Document Architecture (CDA®) R2 IG: QRDA Category I (QRDA I), Release 1, Standard for Trial Use (STU) Release 5.2 with errata, as the 2021 CMS QRDA I IG. There are no changes to the 2022 CMS QRDA I Schematron compared with the 2021 CMS QRDA I Schematrons.

The 2022 CMS QRDA I Sample Files updates include:

• Sample files updated to use the 2022 reporting period eCQMs as examples.

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 IGs and/or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.
• See the QRDA Known Issues Dashboard for solutions under development for both QRDA I and III known technical issues. These known issues supplement the information in QRDA IGs and other supporting documents.