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Now Accepting Public Comments through June 8, 2026 on the Draft 2027 CMS QRDA III Implementation Guide, Schematron, and Sample File for Eligible Clinicians
The CMS Quality Reporting Document Architecture (QRDA) Implementation Guides (IGs) are technical documents that define the standards and specifications for reporting electronic clinical quality measures (eCQMs) using Health Level Seven International® (HL7®) QRDA. The guides provide detailed…
The CMS Quality Reporting Document Architecture (QRDA) Pre-Submission Validation Tools are software resources designed to help healthcare providers, health information technology (IT) vendors, and reporting organizations verify the accuracy and compliance of their electronic clinical quality…
Cypress is an open-source testing platform that health information technology (IT) vendors use to certify their electronic health records (EHRs) and certified health IT modules (CEHRT) for electronic clinical quality measure (eCQM) calculations. It is an official testing tool within the Office of…
The Health Level Seven International® (HL7®) Data Exchange for Quality Measures (DEQM) Implementation Guide (IG) provides standards for sharing healthcare quality information using Fast Healthcare Interoperability Resources® (FHIR®). It defines how systems can exchange digital quality measure (dQM…
The electronic clinical quality measure (eCQM) Annual Update Pre-publication Document outlines the versions of standards and code systems incorporated in the updated eCQMs for possible use in CMS programs during the reporting and performance period. It is intended to help health information…
The Fast Healthcare Interoperability Resources® (FHIR®) Implementation Guide (IG) Registry is a centralized repository or catalog that stores and organizes IGs, which are structured documents providing instructions for how to implement specific technical standards, usually in the context of…
The Health Level Seven International® (HL7®) Quality Reporting Document Architecture Category I Implementation Guide (HL7 QRDA I IG) describes constraints on HL7's Clinical Document Architecture Release 2 (CDA R2) to create a QRDA I document. QRDA Category I is for reporting quality data at the…
The Hospital Quality Reporting (HQR) Secure Portal is a CMS-approved website for secure communications and health care quality data exchange between quality improvement organizations, hospitals, physician offices, nursing homes, end-stage renal disease networks and facilities, and data…
The Interoperability Standards Advisory (ISA) process represents the model by which the Office of the National Coordinator for Health Information Technology (ONC) coordinates interoperability standards and implementation specifications for industry use to fulfill specific clinical health…
The Quality Payment Program (QPP) Developer Tools allow industry developers, who build software for participating clinicians, to integrate their software directly with CMS applications and data. Available tools include Submissions Application Programming Interface (API), Submissions Developer…
