Now Available: Updated 2019 CMS QRDA I Schematron for HQR

The Centers for Medicare & Medicaid Services (CMS) has released an updated 2019 CMS Quality Reporting Document Architecture (QRDA) Category I Schematron for Hospital Quality Reporting (HQR). The updated Schematron provides technical instructions for reporting electronic clinical quality measures (eCQMs) for the calendar year 2019 reporting period for the:

• Hospital Inpatient Quality Reporting (IQR) Program
• Medicare and Medicaid Promoting Interoperability (PI) Programs for Eligible Hospitals and Critical Access Hospitals (CAHs)

The 2019 CMS QRDA I Schematron is a companion to the 2019 CMS QRDA I Implementation Guide (IG) for HQR and allows for computerized validation of QRDA documents against the IG requirements. Changes to the Schematron include:

• A correction in the QDM-Based QRDA (V5) template. The assertion rule for conformance statement 3343-17081 has been corrected from test="count(count(cda:structuredBody))=1" to test="count(cda:structuredBody)=1" to remove the extra nested count function that was causing an invalid xpath issue in the Schematron.
• The removal of a duplicate check for conformance statement 3343-16591 in the QRDA Category I Report - CMS (V5) template so the assertion rule for 3343-16591 would be triggered only once.

Additional QRDA-Related Resources:

To find out more about QRDA, visit the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page.

For questions related to the QRDA IGs and/or Schematrons, visit the ONC Project Tracking System (JIRA) QRDA project.

For questions about the QualityNet Secure Portal, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.