The Centers for Medicare & Medicaid Services (CMS) has posted the draft 2025 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) and Schematron for Hospital Quality Reporting (HQR). The public comment period begins on March 7, 2025, and ends at 5 p.m. eastern time (ET) on March 28, 2024.

The 2025 CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals to report electronic clinical quality measures (eCQMs) for the calendar year 2025 reporting period. The 2025 CMS QRDA I IG uses the same base Health Level Seven International® (HL7) QRDA I standard as the 2024 CMS QRDA I IG.

Changes to the draft 2025 CMS QRDA I IG:

• Updates to support the 2025 reporting period
• Updates validation rule CMS_0084 on the Medicare Beneficiary Identification Number (MBI) requirement for hybrid measures
• Removal of section 6.1 Submitting the encounter id associated with a CCDE