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Now Available: Updated 2023 CMS QRDA I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting

January 31, 2023

The Centers for Medicare & Medicaid Services (CMS) has published an update to the 2023 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting. 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 these programs:

  • Hospital Inpatient Quality Reporting Program
  • Medicare Promoting Interoperability Program
  • Outpatient Quality Reporting Program (voluntary)

Changes to the 2023 CMS QRDA I IG include:

  • Updates to require patient telephone and email address.
  • Updates to provide guidance when report “result as type” such as “result as Quantity”.

Changes to the 2023 CMS QRDA I schematron file:

  • Updates to support the changes in the December 2022 Errata release of the Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 IG: QRDA Category I (QRDA I), Release 1, Standard for Trial Use (STU) Release 5.3.
  • Updates to add assertion rules requiring patient telephone and email address.

Changes to the 2023 CMS QRDA I Sample Files:

  •  Updates to align with the changes to require patient telephone and email address.

Additional QRDA-Related Resources:

  • To find out more about QRDA, visit the QRDA pages of 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.
Last Updated: Feb 10, 2023