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-4806To subscribe to the weekly CRP digest, please email


The public comment period for the following CRP issues will be open from 9/22 through 10/06.


  • CMS2: CQM-4861: Include manic episode related coding for denominator exclusion of Bipolar Disorder
  • CMS2: CQM-4862: Add a grace period for documenting the follow-up after a positive depression screening
  • CMS2: CQM-4863: Revise guidance and denominator exclusion language to clarify timing for the diagnoses
  • CMS117: CQM-4864: Remove criteria related to antigen test based on CDC recommendations
  • CMS117: CQM-4865: Replace Hib Vaccine (3 dose schedule) value set with DRC
  • CMS117: CQM-4866: Remove code for adult vaccination from value set
  • CMS117: CQM-4867: Move conditions criteria used in numerator to denominator exclusions
  • CMS117: CQM-4868: Remove anaphylactic reaction to common Baker's yeast
  • CMS127: CQM-4869: Remove the word 'ever' from the description to align with measure intent
  • CMS127: CQM-4870: Replace extensional value set with grouping value set
  • CMS130: CQM-4871: Revise lower age limit from 50 to 45 for colorectal cancer screenings
  • CMS131: CQM-4872: Update datetime comparison to day level specificity
  • CMS133: CQM-4873: Add heteronymous bilateral field defects as denominator exclusion
  • CMS135: CQM-4874: Revise numerator statement to align with intent and logic
  • CMS136: CQM-4875: Replace Dispensed datatype with Order
  • CMS136: CQM-4876: Replace Medication Active datatype with Order for cumulative medication duration
  • CMS136: CQM-4877: Expand intake period from 5 months to 12 months
  • CMS136: CQM-4878: Modify age criteria as of Intake Period instead of Measurement Period
  • CMS136: CQM-4879: Define the 'Initiation Phase' and 'Continuation and Maintenance Phase'
  • CMS136: CQM-4880: Revise encounter requirements in indicator 2
  • CMS136: CQM-4881: Revise medication duration language to align with intent and logic
  • CMS139: CQM-4882: Therapy codes
  • CMS144: CQM-4883: Revise numerator statement to align with intent and logic
  • CMS145: CQM-4884: Revise logic to remove potential double count of patients with LVSD
  • CMS146: CQM-4885: Add day of precision to encounter
  • CMS147: CQM-4886: Remove denominator exceptions
  • CMS147: CQM-4887: Add denominator exclusion for patients in hospice
  • CMS153: CQM-4888: Replace Sexually Active value set with DRC
  • CMS157: CQM-4889: Apply lookback period for pain assessment in relation to type of radiation treatment management
  • CMS157: CQM-4890: Revise logic to ensure patient had two chemotherapy administrations on different days
  • CMS157: CQM-4891: Incorporate lookback period to identify the encounter in logic
  • CMS157: CQM-4892: Change QDM from Procedure to Encounter for radiation treatment management
  • CMS157: CQM-4893: Add new ICD-10-CM cancer codes for denominator eligibility
  • CMS165: CQM-4894: Add guidance to clarify which blood pressure readings should be used to evaluate the numerator
  • CMS165: CQM-4895: Remove blood pressure guidance that is not built into the technical specification
  • CMS645: CQM-4896: Remove definition related to value sets from header
  • CMS127, CMS117: CQM-4897: Remove criteria related to adverse reaction requirements
  • Multiple EC eCQMs: CQM-4898: Move age requirements from exclusions definitions into the Long Term Care library
  • CMS124, CMS130: CQM-4899: Improve specificity of timeframes allowed
  • CMS124, CMS125, CMS127, CMS130, CMS147, CMS153: CQM-4900: Remove QRDA-1 guidance statements
  • CMS135, CMS144: CQM-4901: Remove inpatient population from measures
  • CMS56, CMS66: CQM-4902: Revise timing of follow-up assessments
  • Multiple EC eCQMs: CQM-4903: Replace age calculation function
  • CMS506: CQM-4905: Add Schedule IV Opioids based on recent literature and expert feedback
  • CMS506: CQM-4906: Consider excluding patients discharged against medical advice
  • CMS506: CQM-4907: Considering excluding patients receiving medications for treatment of opioid use disorder
  • CMS108/VTE-1, CMS190/VTE-2: CQM-4908: Replace QDM 'Device, Applied' with 'Procedure, Performed'
  • CMS506: CQM-4909: Considering excluding patients with sickle cell disease 


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

  • Multiple EH eCQMs: CQM-4807: Use of Encounter.class attribute across EH eCQMs
  • CMS125: CQM-4808: Add clinical recommendation statement to support inclusion of DBT  
  • Multiple EC eCQMs: CQM-4809 Add coding and logic to capture hospice assessment and encounter
  • Multiple EC eCQMs: CQM-4810 Add ICD-10-CM coding for palliative care exclusion and palliative care SNOMED-CT concepts
  • Multiple EC eCQMs: CQM-4811 Replace exclusive brackets in age criteria to more closely align with measure intent and recommended practices
  • CMS138: CQM-4813: Add nutritional services as allowable encounters
  • CMS122, CMS125, CMS130, CMS134, CMS165: CQM-4815: Update encounters library and apply to new measures
  • CMS138: CQM-4817: Replace denominator exceptions with denominator exclusions
  • CMS138: CQM-4818: Add surgical follow up visit to eligible encounters
  • CMS138: CQM-4819: Add diagnosis code to capture patient counseled
  • CMS122, CMS131, CMS134: CQM-4820: Align guidance with measures' intended patient population
  • CMS146, CMS154: CQM-4821: Align exclusion logic with language and measure intent
  • Multiple EC eCQMs: CQM-4822: Use of Encounter.class attribute across EC eCQMs
  • Multiple EC eCQMs: CQM-4823: Use of Encounter.class attribute to capture non-telehealth eligible encounters
  • CMS125: CQM-4824: Revise numerator measure language and logic to remove ambiguity
  • CMS74: CQM-4825: Revise initial population measure language and logic to remove ambiguity and align with measure intent
  • CMS122, CMS125, CMS130, CMS131, CMS134, CMS165: CQM-4826: Replace QDM datatype of Device, Applied with Assessment, Performed to capture frailty device
  • CMS122, CMS125, CMS130, CMS131, CMS134, CMS165: CQM-4827; Replace exclusion logic using encounter datatype with assessment datatype and apply new coding
  • CMS124, CMS125, CMS153, CMS249: CQM-4828: Represent 'Female' as a direct reference code 
  • CMS56, CMS66: CQM-4829: Update exclusion timing to align with measure language and intent
  • CMS133: CQM-4830: Add tractional retinal detachment as denominator exclusion
  • CMS74: CQM-4831: Add specificity to stratification language and update relevant logic 
  • CMS138: CQM-4832: Allow a 6 month look back for tobacco cessation intervention
  • CMS56, CMS66, CMS117,CMS147: CQM-4833: Add 'NormalizeInterval' function

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

Project Lead
cindy.cullen Cindy Cullen
Last week most active
khancock sgearhart ataylor