IP Review

This publication includes IP covered under the following statements.

ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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- ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code : AdultOutpatientEncounters , AdvancedIllnessandFrailtyExclusion ... Show 97 more
The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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- Unified Code for Units of Measure (UCUM) : EXMRatioMeasure
This material contains content from LOINC . LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license . LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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- LOINC : Bundle/bundle-example , EXM108 ... Show 11 more
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org .
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- SNOMED Clinical Terms® (SNOMED CT®) : ChronicLiverDiseaseLegacyExample , EXM124 , EXM125 and EXM130
This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.cqfmeasures#5.0.0 based on FHIR 4.0.1. Generated 2025-08-26 Links: Table of Contents | QA Report | Version History | CC0 | Propose a change ( src )

hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )

/* @author: Bryn Rhodes @description: This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation. For more information, see the FHIRHelpers wiki page: https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers @allowFluent: true */ library FHIRHelpers version '4.0.1' using FHIR version '4.0.1' define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value] define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end define function ToQuantityIgnoringComparator(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end define function ToInterval(quantity FHIR.Quantity): if quantity is null then null else case quantity.comparator.value when '<' then Interval[ null, ToQuantityIgnoringComparator(quantity) ) when '<=' then Interval[ null, ToQuantityIgnoringComparator(quantity) ] when '>=' then Interval[ ToQuantityIgnoringComparator(quantity), null ] when '>' then Interval( ToQuantityIgnoringComparator(quantity), null ] else Interval[ToQuantity(quantity), ToQuantity(quantity)] end define function ToRatio(ratio FHIR.Ratio): if ratio is null then null else System.Ratio { numerator: ToQuantity(ratio.numerator), denominator: ToQuantity(ratio.denominator) } define function ToInterval(range FHIR.Range): if range is null then null else Interval[ToQuantity(range.low), ToQuantity(range.high)] define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value } define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value } define function reference(reference String): if reference is null then null else Reference { reference: string { value: reference } } define function resolve(reference String) returns Resource: external define function resolve(reference Reference) returns Resource: external define function reference(resource Resource) returns Reference: external define function extension(element Element, url String) returns List<Element>: external define function extension(resource Resource, url String) returns List<Element>: external define function hasValue(element Element) returns Boolean: external define function getValue(element Element) returns Any: external define function ofType(identifier String) returns List<Any>: external define function is(identifier String) returns Boolean: external define function as(identifier String) returns Any: external define function elementDefinition(element Element) returns ElementDefinition: external define function slice(element Element, url String, name String) returns List<Element>: external define function checkModifiers(resource Resource) returns Resource: external define function checkModifiers(resource Resource, modifier String) returns Resource: external define function checkModifiers(element Element) returns Element: external define function checkModifiers(element Element, modifier String) returns Element: external define function conformsTo(resource Resource, structure String) returns Boolean: external define function memberOf(code code, valueSet String) returns Boolean: external define function memberOf(coding Coding, valueSet String) returns Boolean: external define function memberOf(concept CodeableConcept, valueSet String) returns Boolean: external define function subsumes(coding Coding, subsumedCoding Coding) returns Boolean: external define function subsumes(concept CodeableConcept, subsumedConcept CodeableConcept) returns Boolean: external define function subsumedBy(coding Coding, subsumingCoding Coding) returns Boolean: external define function subsumedBy(concept CodeableConcept, subsumingConcept CodeableConcept) returns Boolean: external define function htmlChecks(element Element) returns Boolean: external define function ToString(value AccountStatus): value.value define function ToString(value ActionCardinalityBehavior): value.value define function ToString(value ActionConditionKind): value.value define function ToString(value ActionGroupingBehavior): value.value define function ToString(value ActionParticipantType): value.value define function ToString(value ActionPrecheckBehavior): value.value define function ToString(value ActionRelationshipType): value.value define function ToString(value ActionRequiredBehavior): value.value define function ToString(value ActionSelectionBehavior): value.value define function ToString(value ActivityDefinitionKind): value.value define function ToString(value ActivityParticipantType): value.value define function ToString(value AddressType): value.value define function ToString(value AddressUse): value.value define function ToString(value AdministrativeGender): value.value define function ToString(value AdverseEventActuality): value.value define function ToString(value AggregationMode): value.value define function ToString(value AllergyIntoleranceCategory): value.value define function ToString(value AllergyIntoleranceCriticality): value.value define function ToString(value AllergyIntoleranceSeverity): value.value define function ToString(value AllergyIntoleranceType): value.value define function ToString(value AppointmentStatus): value.value define function ToString(value AssertionDirectionType): value.value define function ToString(value AssertionOperatorType): value.value define function ToString(value AssertionResponseTypes): value.value define function ToString(value AuditEventAction): value.value define function ToString(value AuditEventAgentNetworkType): value.value define function ToString(value AuditEventOutcome): value.value define function ToString(value BindingStrength): value.value define function ToString(value BiologicallyDerivedProductCategory): value.value define function ToString(value BiologicallyDerivedProductStatus): value.value define function ToString(value BiologicallyDerivedProductStorageScale): value.value define function ToString(value BundleType): value.value define function ToString(value CapabilityStatementKind): value.value define function ToString(value CarePlanActivityKind): value.value define function ToString(value CarePlanActivityStatus): value.value define function ToString(value CarePlanIntent): value.value define function ToString(value CarePlanStatus): value.value define function ToString(value CareTeamStatus): value.value define function ToString(value CatalogEntryRelationType): value.value define function ToString(value ChargeItemDefinitionPriceComponentType): value.value define function ToString(value ChargeItemStatus): value.value define function ToString(value ClaimResponseStatus): value.value define function ToString(value ClaimStatus): value.value define function ToString(value ClinicalImpressionStatus): value.value define function ToString(value CodeSearchSupport): value.value define function ToString(value CodeSystemContentMode): value.value define function ToString(value CodeSystemHierarchyMeaning): value.value define function ToString(value CommunicationPriority): value.value define function ToString(value CommunicationRequestStatus): value.value define function ToString(value CommunicationStatus): value.value define function ToString(value CompartmentCode): value.value define function ToString(value CompartmentType): value.value define function ToString(value CompositionAttestationMode): value.value define function ToString(value CompositionStatus): value.value define function ToString(value ConceptMapEquivalence): value.value define function ToString(value ConceptMapGroupUnmappedMode): value.value define function ToString(value ConditionalDeleteStatus): value.value define function ToString(value ConditionalReadStatus): value.value define function ToString(value ConsentDataMeaning): value.value define function ToString(value ConsentProvisionType): value.value define function ToString(value ConsentState): value.value define function ToString(value ConstraintSeverity): value.value define function ToString(value ContactPointSystem): value.value define function ToString(value ContactPointUse): value.value define function ToString(value ContractPublicationStatus): value.value define function ToString(value ContractStatus): value.value define function ToString(value ContributorType): value.value define function ToString(value CoverageStatus): value.value define function ToString(value CurrencyCode): value.value define function ToString(value DayOfWeek): value.value define function ToString(value DaysOfWeek): value.value define function ToString(value DetectedIssueSeverity): value.value define function ToString(value DetectedIssueStatus): value.value define function ToString(value DeviceMetricCalibrationState): value.value define function ToString(value DeviceMetricCalibrationType): value.value define function ToString(value DeviceMetricCategory): value.value define function ToString(value DeviceMetricColor): value.value define function ToString(value DeviceMetricOperationalStatus): value.value define function ToString(value DeviceNameType): value.value define function ToString(value DeviceRequestStatus): value.value define function ToString(value DeviceUseStatementStatus): value.value define function ToString(value DiagnosticReportStatus): value.value define function ToString(value DiscriminatorType): value.value define function ToString(value DocumentConfidentiality): value.value define function ToString(value DocumentMode): value.value define function ToString(value DocumentReferenceStatus): value.value define function ToString(value DocumentRelationshipType): value.value define function ToString(value EligibilityRequestPurpose): value.value define function ToString(value EligibilityRequestStatus): value.value define function ToString(value EligibilityResponsePurpose): value.value define function ToString(value EligibilityResponseStatus): value.value define function ToString(value EnableWhenBehavior): value.value define function ToString(value EncounterLocationStatus): value.value define function ToString(value EncounterStatus): value.value define function ToString(value EndpointStatus): value.value define function ToString(value EnrollmentRequestStatus): value.value define function ToString(value EnrollmentResponseStatus): value.value define function ToString(value EpisodeOfCareStatus): value.value define function ToString(value EventCapabilityMode): value.value define function ToString(value EventTiming): value.value define function ToString(value EvidenceVariableType): value.value define function ToString(value ExampleScenarioActorType): value.value define function ToString(value ExplanationOfBenefitStatus): value.value define function ToString(value ExposureState): value.value define function ToString(value ExtensionContextType): value.value define function ToString(value FHIRAllTypes): value.value define function ToString(value FHIRDefinedType): value.value define function ToString(value FHIRDeviceStatus): value.value define function ToString(value FHIRResourceType): value.value define function ToString(value FHIRSubstanceStatus): value.value define function ToString(value FHIRVersion): value.value define function ToString(value FamilyHistoryStatus): value.value define function ToString(value FilterOperator): value.value define function ToString(value FlagStatus): value.value define function ToString(value GoalLifecycleStatus): value.value define function ToString(value GraphCompartmentRule): value.value define function ToString(value GraphCompartmentUse): value.value define function ToString(value GroupMeasure): value.value define function ToString(value GroupType): value.value define function ToString(value GuidanceResponseStatus): value.value define function ToString(value GuidePageGeneration): value.value define function ToString(value GuideParameterCode): value.value define function ToString(value HTTPVerb): value.value define function ToString(value IdentifierUse): value.value define function ToString(value IdentityAssuranceLevel): value.value define function ToString(value ImagingStudyStatus): value.value define function ToString(value ImmunizationEvaluationStatus): value.value define function ToString(value ImmunizationStatus): value.value define function ToString(value InvoicePriceComponentType): value.value define function ToString(value InvoiceStatus): value.value define function ToString(value IssueSeverity): value.value define function ToString(value IssueType): value.value define function ToString(value LinkType): value.value define function ToString(value LinkageType): value.value define function ToString(value ListMode): value.value define function ToString(value ListStatus): value.value define function ToString(value LocationMode): value.value define function ToString(value LocationStatus): value.value define function ToString(value MeasureReportStatus): value.value define function ToString(value MeasureReportType): value.value define function ToString(value MediaStatus): value.value define function ToString(value MedicationAdministrationStatus): value.value define function ToString(value MedicationDispenseStatus): value.value define function ToString(value MedicationKnowledgeStatus): value.value define function ToString(value MedicationRequestIntent): value.value define function ToString(value MedicationRequestPriority): value.value define function ToString(value MedicationRequestStatus): value.value define function ToString(value MedicationStatementStatus): value.value define function ToString(value MedicationStatus): value.value define function ToString(value MessageSignificanceCategory): value.value define function ToString(value Messageheader_Response_Request): value.value define function ToString(value MimeType): value.value define function ToString(value NameUse): value.value define function ToString(value NamingSystemIdentifierType): value.value define function ToString(value NamingSystemType): value.value define function ToString(value NarrativeStatus): value.value define function ToString(value NoteType): value.value define function ToString(value NutritiionOrderIntent): value.value define function ToString(value NutritionOrderStatus): value.value define function ToString(value ObservationDataType): value.value define function ToString(value ObservationRangeCategory): value.value define function ToString(value ObservationStatus): value.value define function ToString(value OperationKind): value.value define function ToString(value OperationParameterUse): value.value define function ToString(value OrientationType): value.value define function ToString(value ParameterUse): value.value define function ToString(value ParticipantRequired): value.value define function ToString(value ParticipantStatus): value.value define function ToString(value ParticipationStatus): value.value define function ToString(value PaymentNoticeStatus): value.value define function ToString(value PaymentReconciliationStatus): value.value define function ToString(value ProcedureStatus): value.value define function ToString(value PropertyRepresentation): value.value define function ToString(value PropertyType): value.value define function ToString(value ProvenanceEntityRole): value.value define function ToString(value PublicationStatus): value.value define function ToString(value QualityType): value.value define function ToString(value QuantityComparator): value.value define function ToString(value QuestionnaireItemOperator): value.value define function ToString(value QuestionnaireItemType): value.value define function ToString(value QuestionnaireResponseStatus): value.value define function ToString(value ReferenceHandlingPolicy): value.value define function ToString(value ReferenceVersionRules): value.value define function ToString(value ReferredDocumentStatus): value.value define function ToString(value RelatedArtifactType): value.value define function ToString(value RemittanceOutcome): value.value define function ToString(value RepositoryType): value.value define function ToString(value RequestIntent): value.value define function ToString(value RequestPriority): value.value define function ToString(value RequestStatus): value.value define function ToString(value ResearchElementType): value.value define function ToString(value ResearchStudyStatus): value.value define function ToString(value ResearchSubjectStatus): value.value define function ToString(value ResourceType): value.value define function ToString(value ResourceVersionPolicy): value.value define function ToString(value ResponseType): value.value define function ToString(value RestfulCapabilityMode): value.value define function ToString(value RiskAssessmentStatus): value.value define function ToString(value SPDXLicense): value.value define function ToString(value SearchComparator): value.value define function ToString(value SearchEntryMode): value.value define function ToString(value SearchModifierCode): value.value define function ToString(value SearchParamType): value.value define function ToString(value SectionMode): value.value define function ToString(value SequenceType): value.value define function ToString(value ServiceRequestIntent): value.value define function ToString(value ServiceRequestPriority): value.value define function ToString(value ServiceRequestStatus): value.value define function ToString(value SlicingRules): value.value define function ToString(value SlotStatus): value.value define function ToString(value SortDirection): value.value define function ToString(value SpecimenContainedPreference): value.value define function ToString(value SpecimenStatus): value.value define function ToString(value Status): value.value define function ToString(value StrandType): value.value define function ToString(value StructureDefinitionKind): value.value define function ToString(value StructureMapContextType): value.value define function ToString(value StructureMapGroupTypeMode): value.value define function ToString(value StructureMapInputMode): value.value define function ToString(value StructureMapModelMode): value.value define function ToString(value StructureMapSourceListMode): value.value define function ToString(value StructureMapTargetListMode): value.value define function ToString(value StructureMapTransform): value.value define function ToString(value SubscriptionChannelType): value.value define function ToString(value SubscriptionStatus): value.value define function ToString(value SupplyDeliveryStatus): value.value define function ToString(value SupplyRequestStatus): value.value define function ToString(value SystemRestfulInteraction): value.value define function ToString(value TaskIntent): value.value define function ToString(value TaskPriority): value.value define function ToString(value TaskStatus): value.value define function ToString(value TestReportActionResult): value.value define function ToString(value TestReportParticipantType): value.value define function ToString(value TestReportResult): value.value define function ToString(value TestReportStatus): value.value define function ToString(value TestScriptRequestMethodCode): value.value define function ToString(value TriggerType): value.value define function ToString(value TypeDerivationRule): value.value define function ToString(value TypeRestfulInteraction): value.value define function ToString(value UDIEntryType): value.value define function ToString(value UnitsOfTime): value.value define function ToString(value Use): value.value define function ToString(value VariableType): value.value define function ToString(value VisionBase): value.value define function ToString(value VisionEyes): value.value define function ToString(value VisionStatus): value.value define function ToString(value XPathUsageType): value.value define function ToString(value base64Binary): value.value define function ToBoolean(value boolean): value.value define function ToDate(value date): value.value define function ToDateTime(value dateTime): value.value define function ToDecimal(value decimal): value.value define function ToDateTime(value instant): value.value define function ToInteger(value integer): value.value define function ToString(value string): value.value define function ToTime(value time): value.value define function ToString(value uri): value.value define function ToString(value xhtml): value.value ( src )

Code of Federal Regulation 21CFR§1271.290(c) ( src )

Copyright/Legal: Physician Performance Measure (Measures) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measures are copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices). Commercial use is defined as the sale, licensing, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial use of the Measures requires a license agreement between the user and NCQA. NCQA is not responsible for any use of the Measures. (c) 2008 -2014 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2013 American Medical Association. LOINC(R) copyright 2004-2013 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2013 International Health Terminology Standards Development Organisation. ICD-10 copyright 2013 World Health Organization. All Rights Reserved. ( src )

Copyright/Legal: This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved. ( src )

Copyright/Legal: This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved. The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com. ( src )

Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. ( src )

Current Procedural Terminology (CPT®) ( src )

Defines the content expected to be rendered in all representations of the artifact. The (c) symbol should NOT be included in this string. It is expected to be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element. ( src )

LOINC(R) is a registered trademark of the Regenstrief Institute. ( src )

Physician Performance Measure (Measures) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measures are copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices). Commercial use is defined as the sale, licensing, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial use of the Measures requires a license agreement between the user and NCQA. NCQA is not responsible for any use of the Measures. (c) 2008 -2014 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2013 American Medical Association. LOINC(R) copyright 2004-2013 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2013 International Health Terminology Standards Development Organisation. ICD-10 copyright 2013 World Health Organization. All Rights Reserved. ( src )

Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions ( src )

This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved. ( src )

This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved. The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com. ( src )

This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage * LOINC: Bundle/bundle-example, EXM108... Show 11 more , EXM124, EXM125, EXM130, EXM146, EXM55, EXMPromotingInteroperabilityMeasure, EXMRatioMeasure, HBPComponent, MeasureEXM, RiskAdjustment_FHIR2 and Terminology_FHIR ( src )

This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage * Artifact Identifier Type Codes: BCSComponent, CCSComponent... Show 5 more , CQFMPublishableMeasure, EXM124, HBPComponent, PVSComponent and TSCComponent * CompositeMeasureScoring: CQFMCompositeMeasure, CQFMCompositeScoring... Show 5 more , MultiRateExample, PreventiveCareandWellnessAllOrNothingComposite, PreventiveCareandWellnessOpportunityComposite, PreventiveCareandWellnessPatientLevelLinearComposite and PreventiveCareandWellnessWeightedComposite * Condition Category Codes: Bundle/sde-example-artifact-bundle * Condition Clinical Status Codes: EXM108, EXM125 and EXM146 * ConditionVerificationStatus: EXM146 * Diagnosis Role: Bundle/sde-example-artifact-bundle, EXM55, EXMLogicModuleDefinitionDirectReference and MeasureEXM * LibraryType: AdultOutpatientEncounters, AdvancedIllnessandFrailtyExclusion... Show 36 more , BCSComponent, Bundle/sde-example-artifact-bundle, CCSComponent, Common, CommonTerminologies, ECQMUpdate2024FinalDraft, ECQMUpdate2024InitialDraft, ECQMUpdate2024Release, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMComputableLibrary, EXMExecutableLibrary, EXMLogic, EXMLogicModuleDefinition, EXMLogicModuleDefinitionDirectReference, EXMPublishableLibrary, EXMRatio, FHIR, HBPComponent, Hospice, MATGlobalCommonFunctions, MeasureEXM, ModuleDefinitionEXMLogic, MultiRateExample, PVSComponent, QualityProgramExample, RiskAdjustment_FHIR2, SupplementalDataElements, TJCOverall, TSCComponent, Terminology and VTEICU * Measure Aggregate Method: CQFMAggregateMethod * MeasureDataUsage: BCSComponent, CCSComponent... Show 10 more , CQFMSupplementalDataGuidance, EXM108, EXM124, EXM125, EXM130, HBPComponent, MeasureEXM, PVSComponent, RiskAdjustment_FHIR2 and TSCComponent * MeasureImprovementNotation: BCSComponent, Bundle/bundle-example... Show 23 more , CCSComponent, CQFMComputableMeasure, CQFMImprovementNotation, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMPromotingInteroperabilityMeasure, EXMRatioMeasure, HBPComponent, MeasureEXM, MeasureReport/testcase-example, MultiRateExample, PVSComponent, PreventiveCareandWellnessAllOrNothingComposite, PreventiveCareandWellnessOpportunityComposite, PreventiveCareandWellnessPatientLevelLinearComposite, PreventiveCareandWellnessWeightedComposite, RiskAdjustment_FHIR2, TSCComponent and Terminology_FHIR * Measure Population Type: BCSComponent, Bundle/bundle-example... Show 23 more , Bundle/sde-example-artifact-bundle, CCSComponent, CQFMAppliesTo, CQFMCohortMeasure, CQFMContinuousVariableMeasure, CQFMProportionMeasure, CQFMRatioMeasure, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMPromotingInteroperabilityMeasure, EXMRatioMeasure, HBPComponent, MeasureEXM, MeasureReport/testcase-example, MultiRateExample, PVSComponent, RiskAdjustment_FHIR2, TSCComponent and Terminology_FHIR * Measure Scoring: BCSComponent, Bundle/sde-example-artifact-bundle... Show 28 more , CCSComponent, CQFMAttestationMeasure, CQFMCohortMeasure, CQFMCompositeMeasure, CQFMComputableMeasure, CQFMContinuousVariableMeasure, CQFMProportionMeasure, CQFMRatioMeasure, CQFMScoring, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMPromotingInteroperabilityMeasure, EXMRatioMeasure, HBPComponent, MeasureEXM, MultiRateExample, PVSComponent, PreventiveCareandWellnessAllOrNothingComposite, PreventiveCareandWellnessOpportunityComposite, PreventiveCareandWellnessPatientLevelLinearComposite, PreventiveCareandWellnessWeightedComposite, RiskAdjustment_FHIR2, TSCComponent and Terminology_FHIR * MeasureType: BCSComponent, Bundle/sde-example-artifact-bundle... Show 21 more , CCSComponent, CQFMPublishableMeasure, CQFMType, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMRatioMeasure, HBPComponent, MeasureEXM, MultiRateExample, PVSComponent, PreventiveCareandWellnessAllOrNothingComposite, PreventiveCareandWellnessOpportunityComposite, PreventiveCareandWellnessPatientLevelLinearComposite, PreventiveCareandWellnessWeightedComposite, RiskAdjustment_FHIR2, TSCComponent and Terminology_FHIR * Observation Category Codes: Bundle/bundle-example and Bundle/sde-example-artifact-bundle * Organization type: Bundle/bundle-example * Software System Type Codes: CQFMDevice and Device/software-system-example * UsageContextType: BCSComponent, CCSComponent... Show 18 more , CQFMPublishableMeasure, EXM108, EXM124, EXM125, EXM130, EXM146, EXM55, EXMPromotingInteroperabilityMeasure, EXMRatioMeasure, HBPComponent, MeasureEXM, MultiRateExample, PVSComponent, PreventiveCareandWellnessAllOrNothingComposite, PreventiveCareandWellnessOpportunityComposite, PreventiveCareandWellnessPatientLevelLinearComposite, PreventiveCareandWellnessWeightedComposite and TSCComponent * identifierType: Bundle/bundle-example * ActCode: Bundle/sde-example-artifact-bundle * MaritalStatus: Bundle/bundle-example ( src )

External References

Type	Reference	Content
web	browser.ihtsdotools.org	http://snomed.info/sct
web	github.com	Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions
web	example.org	Information Source: http://example.org/fhir/server
web	snomed.info	1116000
web	snomed.info	10295004
web	snomed.info	111370006
web	journals.lww.com	Practitioner organizations along with stakeholders such as public health have ongoing needs for quality improvement at the point of care. Every effort should be made to establish a capable distributed rule processing environment in FHIR. For additional information about idealized processes for moving evidence and information from guidelines to CDS and measurement, refer to an effort by the Centers for Disease Control and Prevention (CDC) called Adapting Clinical Guidelines for the Digital Age .
web	www.iso.org	ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html Show Usage ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code : AdultOutpatientEncounters , AdvancedIllnessandFrailtyExclusion ... Show 97 more
web	ucum.org	The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse Show Usage Unified Code for Units of Measure (UCUM) : EXMRatioMeasure
web	www.nationalacademies.org	The National Academy of Medicine, formerly called the Institute of Medicine (IOM), defines quality as: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” For care quality to be evaluated, standard quality metrics need to be developed and communicated to the appropriate organizations. To that end, the FHIR Quality Measure Implementation Guide (this IG) has been written to provide guidance for authoring electronic clinical quality measures ( eCQMs ) which are clinical quality measures specified in a standard electronic format and designed to use structured, encoded data present in the electronic health record. This implementation guide references the following standards for creating QMs:
web	github.com	FHIR-based measures SHALL contain a narrative containing a human-readable representation of the measure content. a. Narrative should be consistent with the narratives in this IG. Liquid templates are provided as informative resources to facilitate consistency across measures. Measure.liquid
web	semver.org	Consistent with the UCWF IG, this IG recommends an approach to Library Versioning used within Measures to help track and manage dependencies. The approach recommended here is based on the Semantic Versioning Scheme .

Type

Reference

Content

web

browser.ihtsdotools.org

http://snomed.info/sct

web

github.com

web

example.org

Information Source: http://example.org/fhir/server

web

snomed.info

1116000

web

snomed.info

10295004

web

snomed.info

111370006

web

journals.lww.com

Practitioner organizations along with stakeholders such as public health have ongoing needs for quality improvement at the point of care. Every effort should be made to establish a capable distributed rule processing environment in FHIR. For additional information about idealized processes for moving evidence and information from guidelines to CDS and measurement, refer to an effort by the Centers for Disease Control and Prevention (CDC) called Adapting Clinical Guidelines for the Digital Age .

web

www.iso.org

ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html

Show Usage

web

ucum.org

The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse

Show Usage

web

www.nationalacademies.org

The National Academy of Medicine, formerly called the Institute of Medicine (IOM), defines quality as: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” For care quality to be evaluated, standard quality metrics need to be developed and communicated to the appropriate organizations. To that end, the FHIR Quality Measure Implementation Guide (this IG) has been written to provide guidance for authoring electronic clinical quality measures ( eCQMs ) which are clinical quality measures specified in a standard electronic format and designed to use structured, encoded data present in the electronic health record. This implementation guide references the following standards for creating QMs:

web

github.com

FHIR-based measures SHALL contain a narrative containing a human-readable representation of the measure content. a. Narrative should be consistent with the narratives in this IG. Liquid templates are provided as informative resources to facilitate consistency across measures. Measure.liquid

web

semver.org

Consistent with the UCWF IG, this IG recommends an approach to Library Versioning used within Measures to help track and manage dependencies. The approach recommended here is based on the Semantic Versioning Scheme .

Internal Images

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