eCQM Issue Tracker

The electronic clinical quality measure (eCQM) Issue Tracker provides a public place for the eCQM community to submit questions and issues related to eCQM specifications.

Reminder: Do not include any Protected Health Information (PHI) in the ONC Project Tracking System. 


Change Review Process (CRP)

The Change Review Process (CRP) provides electronic clinical quality measure (eCQM) users the opportunity to review and comment on draft changes to the eCQM specifications and supporting resources under consideration by the measure steward. The goal of the CRP is for eCQM implementers to comment on the potential impact of draft changes to eCQMs so CMS and measure stewards can make improvements to meet CMS’s intent of minimizing provider and vendor burden in the collection, capture, calculation, and reporting of eCQMs. The CRP is conducted through the ONC Project Tracking System eCQM Issue Tracker.


To learn more about CRP, please review the CRP Participant User Guide posted on CQM-5626. To subscribe to the weekly CRP digest, please email


The public comment period for the following CRP issues is now closed.

CMS159: CQM-5729: Removal of long-term care denominator exclusion

CMS71/STK-3: CQM-5730: Evaluate appropriate QDM application to new value set designed to capture a history of atrial ablation procedure

CMS347: CQM-5696: Add 4th population related to the 10-year ASCVD risk assessment

CMS22: CQM-5697: Add ASCVD risk assessment to the rationale, but not within the measure requirements

CMS645: CQM-5698: Anchor androgen deprivation therapy to the end of the measurement period

CMS349: CQM-5699: Add a denominator exception for patients who die

CMS347: CQM-5700: Revert first initial population to include patients previously diagnosed with clinical ASCVD

CMS646, CMS771: CQM-5701: Revised timing to 'day of' specificity to align with measure intent

CMS145: CQM-5702: Remove system reason denominator exception

CMS130: CQM-5703: Replace term FIT DNA with term Stool DNA with FIT

CMS154: CQM-5704: Create unique value set for antibiotics for Upper Respiratory Infection

CMS646: CQM-5705: Revise timing of the first bladder cancer staging procedure

CMS646: CQM-5706: Clarify denominator exception timing within narrative

CMS646: CQM-5707: Clarify denominator exclusion timing within narrative

CMS56, CMS66, CMS90: CQM-5708: Add 'date from' or 'day of' specificity to timing

CMS646: CQM-5709: Update timing relationship between bladder cancer staging and diagnosis

CMS347: CQM-5710: Add upper age boundary of 75 years to align with guidelines

CMS56, CMS66: CQM-5711: Add denominator exclusions to identify patients with an elective total hip/knee arthroplasty

CMS56, CMS66: CQM-5712: Revise fracture exclusion from 2 to 1

CMS156: CQM-5713: Move numerator exclusions into the numerator criteria

CMS506: CQM-5717: Evaluate options for excluding certain discharge situations

CMS506: CQM-5718: Exclude patients who discharged against medical advice

CMS986/GMCS: CQM-5719: Replace existing nutrition risk screening coding (SNOMED-CT and ICD-10-CM) with Blueprint recommended code system (LOIC)

CMS986/GMCS: CQM-5720: Clarify rate aggregation and guidance language

CMS986/GMCS: CQM-5721: Update measure logic so component 2 is independent of component 1

CMS986/GMCS: CQM-5722: Allow observation activities performed in the ED or observation before hospitalization to count

CMS986/GMCS: CQM-5723: Revise definitions to capture the screening risk result

CMS334/PC-02, CMS1028/PC-07: CQM-5724: Remove TruncateTime functionality from Estimated Delivery Date Logic

CMS986/GMCS: CQM-5725: Add coding and logic to capture mild malnourishment or no malnourishment assessment result

The Change Review Process is now closed for 2022.


For more information on how to use the ONC Project Tracking System, visit the Learning Resources page.

Project Lead Edna Boone
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