Now Available: 2023 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 2023 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting (HQR). The 2023 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 2023 reporting period for the Hospital Inpatient Quality Reporting (IQR) Program, the Medicare Promoting Interoperability Program, and the Outpatient Quality Reporting (OQR) Program (voluntary).

The 2023 CMS QRDA I IG contains these high-level changes compared with the 2022 CMS QRDA I IG:

• Updates to support HL7 Implementation Guide for CDA Release 2: Quality Reporting Document Architecture Category I, Release 1, Standard for Trial Use (STU) Release 5.3, US Realm as the base standard
• Updates to Table 6: QRDA I CMS Program Name
• Updates to Table 14: Other Validation Rules for HQR Programs
• Updates to Section 6 Hybrid Measures/CCDE Submission

The 2023 CMS QRDA I schematron file contains these high-level changes compared with the 2022 CMS QRDA I schematron:

• Updates to incorporate schematron updates from the base HL7 QRDA I STU Release 5.3 schematron
• Updates to support the updated templates QRDA Category I Report – CMS (V8) and Patient Data Section QDM – CMS (V8)
• Updates to the QRDA I CMS Program Name value set in the supporting voc.xml to match the updated Table 6: QRDA I CMS Program Name

The 2023 CMS QRDA I Sample Files updates include:

• Sample files updated to use the 2023 reporting period eCQMs as examples.
• Sample files updated to conform with the 2023 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 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.