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The Centers for Medicare & Medicaid Services

Training & Resources

Frequently Asked Questions

How do I access the Measure Authoring Development Integrated Environment (MADiE)?

All Measure Authoring Development Integrated Environment (MADiE) users are required to have a valid HCQIS Access Roles and Profiles (HARP) ID. Once you have a valid HARP ID, you may log into your HARP account (https://harp.cms.gov) and request the MADiE-User role. Detailed instructions for requesting the MADiE-User role are available in the MADiE Access Guide accessible via the link under ‘MADiE Resources’. After receiving an email confirming your MADiE-User role request has been approved, you will be able to use your HARP ID and password to log into MADiE at https://madie.cms.gov. Click on the MADiE Access Guide link under ‘MADiE Resources’ in the right pane on this page.

Where can I learn more about measure authoring and test case development in MADiE?

The MADiE User Guide offers detailed information about the functionality available for the purpose of measure authoring and test case development in MADiE. Click on the MADiE User Guide link under ‘MADiE Resources’ in the right pane on this page.

Where can I learn more about writing JSON test cases in MADiE?

Please review the JSON Test Case Guide for guidance regarding exporting test cases from BONNIE FHIR, writing JSON test cases, entering JSON test cases into MADiE, defining expected results of test cases in MADiE, and more. Click on the JSON Test Case Guide under ‘MADiE Resources’ in the right pane on this page.

How do I share a measure I own and all test cases in MADiE with another MADiE user?

To share a measure and all test cases for the measure, the measure owner must complete the Measure Sharing Request Form and submit it via email to the Helpdesk at semanticbits-madie-help@icf.com.

Click on the MADiE MVP Measure Sharing Form under ‘MADiE Resources’ in the right pane on this page.

**This form must be submitted via email and NOT submitted using the Bonnie MAT MADiE Jira Issue tracker as it contains HARP IDs.

User Guide

The MADiE User Guide provides step-by-step instructions on the tool, including but not limited to:

  • Creation and Maintenance of Measures and Libraries
  • Creation and Maintenance of Test Cases
  • Measure Versioning
  • Measure and Test Case Exports

If additional assistance is required, please visit the Contact Us page for information on the MADiE Support Desk.

Clinical Quality Language (CQL)

The Centers for Medicare & Medicaid Services (CMS) has announced that electronic clinical quality measures (eCQMs) in CMS quality programs will be transitioned to use the Clinical Quality Language (CQL) standard (CQL Release 1, Standard for Trial Use (STU) 4) for logic expression. CQL is a Health Level Seven International standard and aims to unify the expression of logic for eCQMs and Clinical Decision Support (CDS). CQL provides the ability to better express logic defining measure populations to improve the accuracy and clarity of eCQMs.

For additional information regarding CQL, please visit the eCQI resource center at https://ecqi.healthit.gov/.