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eCQM Library

Annual Updates
Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs.

CMS strongly encourages the implementation and use of the updates to the electronic specifications of the CQMs finalized in the Stage 2 rule for the 2015 EHR Reporting Period since those updates include new codes, logic corrections and clarifications. 

For those attesting to CQMs for meaningful use:

  • CMS will accept all versions of the CQMs through attestation, beginning with those finalized in the December 4, 2012 CMS-ONC Interim Final Rule.

For eReporting of eCQMs:

  • An eligible professional must use the version of the eCQMs identified for each program year below.

eCQM Library

2014 CQM Eligible Professionals

            December 2012 Release (cannot be used for eReporting):

June 2013 Update for eReporting for the 2014 Reporting Year:

July 2014 Update for eReporting for the 2015 Reporting Year:

2014 CQM Eligible Hospitals

            December 2012 Release:

            April 2013 Update:                

             April 2014 Update:

QRDA Information


Guide to Reading eCQMs

Blueprint for the Measures Management System


Value Set Authority Center
The National Library of Medicine (NLM) maintains the NLM Value Set Authority Center (VSAC). The VSAC provides downloadable access to all official versions of vocabulary value sets contained in the 2014 Clinical Quality Measures. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License (available at  It is expected that any use of value sets is consistent with these licensing requirements and copyright protections.

The USHIK Meaningful Use portal provides the ability to readily view, download, and accurately compare eCQM specifications, data elements, value sets, and codes released by CMS and NLM.  Each release package is available in a single file, or you can choose the "Latest Specifications" file to download the latest Eligible Hospital and Eligible Professional packages combined.  These files are available in Excel, CSV, or XML.  This site is produced by the Agency for Healthcare Research and Quality in partnership with CMS and the National Library of Medicine.

JIRA Clinical Quality Measure specification Feedback System
JIRA provides the ability for vendors and developers to submit issues identified with eCQM logic, review FAQs, obtain clarification on specifications, and ask questions regarding CQM certification.  

Quality Data Model
The Quality Data Model (QDM) describes clinical concepts in a standardized format to enable electronic quality performance measurement. The model is the backbone for representing criteria used in quality
measures that are currently used by stakeholders involved in electronic quality measurement development and reporting.

Measure Authoring Tool
The Measure Authoring Tool (MAT) is a web-based tool that allows measure developers to author electronic Clinical Quality Measures (eCQMs) using the Quality Data Model (QDM).

Bonnie is a testing tool for electronic clinical quality measures designed to support streamlined and efficient pre-testing of eCQMs used in the Meaningful Use program. This tool is designed for use by measure developers as part of their development process to provide specific feedback on the behavior of the CQM logic. Additionally, vendors and system developers may see a benefit from the tool when testing measure implementation into EHRs.

Cypress is certification testing tool for evaluating the accuracy of clinical quality measure calculations in Electronic Health Record systems. Cypress enables repeatable and rigorous testing of an EHR’s ability to accurately calculate MU Stage 2 Eligible Provider (EP) and Eligible Hospital (EH) CQMs.