eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

## : MPPPatientLevel - XML Representation

Draft as of 2026-05-13

Raw xml | Download

    <Library xmlns="http://hl7.org/fhir">
      <id value="MPPPatientLevel"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
        <table class="grid dict">

            <tr>
                <th scope="row"><b>Id: </b></th>
                <td style="padding-left: 4px;">MPPPatientLevel</td>
            </tr>

            <tr>
                <th scope="row"><b>Url: </b></th>
                <td style="padding-left: 4px;"><a href="Library-MPPPatientLevel.html">MPPPatientLevel</a></td>
            </tr>

            <tr>
                <th scope="row"><b>Name: </b></th>
                <td style="padding-left: 4px;">MPPPatientLevel</td>
            </tr>

            <tr>
                <th scope="row"><b>Status: </b></th>
                <td style="padding-left: 4px;">draft</td>
            </tr>

            <tr>
                <th scope="row"><b>Experimental: </b></th>
                <td style="padding-left: 4px;">true</td>
            </tr>

            <tr>
                <th scope="row"><b>Type: </b></th>
                <td style="padding-left: 4px;">

                            <p style="margin-bottom: 5px;">
                                <b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a></span>
                            </p>

                            <p style="margin-bottom: 5px;">
                                <b>code: </b> <span>logic-library</span>
                            </p>

                </td>
            </tr>

            <tr>
                <th scope="row"><b>Date: </b></th>
                <td style="padding-left: 4px;">2026-05-13 23:09:13+0000</td>
            </tr>

            <tr>
                <th scope="row"><b>Related Artifacts: </b></th>
                <td style="padding-left: 4px;">

                    <p><b>Dependencies</b></p>
                    <ul>

                        <li><code>http://hl7.org/fhir/Library/QICore-ModelInfo</code></li>

                        <li><a href="Library-CQMCommon.html">CQMCommon</a> version: 1.4.000</li>

                        <li><a href="Library-FHIRHelpers.html">FHIRHelpers</a> version: 4.3.000</li>

                        <li><a href="Library-QICoreCommon.html">QICoreCommon</a> version: 1.5.000</li>

                        <li><a href="Library-SupplementalDataElements.html">SupplementalDataElements</a> version: 3.4.000</li>

                        <li><a href="Library-AttributionModel.html">AttributionModel</a> version: 0.1.0</li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion">Annual Wellness Visit</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1048/expansion">Face-to-Face Interaction</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1003/expansion">HIV</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1002/expansion">HIV Viral Load</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion">Home Healthcare Services</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion">Office Visit</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1008/expansion">Outpatient Consultation</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion">Preventive Care Services - Established Office Visit, 18 and Up</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion">Preventive Care Services-Initial Office Visit, 18 and Up</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1030/expansion">Preventive Care Services - Other</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1022/expansion">Preventive Care Services, Initial Office Visit, 0 to 17</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1024/expansion">Preventive Care, Established Office Visit, 0 to 17</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1031/expansion">Telehealth Services</a></li>

                        <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion">Telephone Visits</a></li>

                    </ul>

                </td>
            </tr>

            <tr>
              <th scope="row"><b>Parameters: </b></th>
              <td style="padding-left: 4px;">
                <table class="grid-dict">
                  <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>

                    <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>In</th></tr>

                    <tr><th>Provider</th><th>string</th><th>0</th><th>1</th><th>In</th></tr>

                    <tr><th>Patient</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>

                    <tr><th>Has Qualifying Encounter During First 240 Days of Measurement Period</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>

                    <tr><th>Initial Population</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>

                </table>
              </td>
            </tr>

            <tr>
              <th scope="row"><b>Data Requirements:</b></th>
              <td style="padding-left: 4px;">
                <table class="grid-dict">
                  <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>

                    <tr>
                      <th>Patient</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>
                      <th/>
                      <th>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</span>
                          </span>

                      </th>
                    </tr>

                    <tr>
                      <th>Encounter</th>
                      <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                      <th>;;</th>
                      <th>

                          <b>code filter: </b>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                          <br/>

                          <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080</span>
                          </span>

                      </th>
                    </tr>

                </table>
              </td>
            </tr>

            <tr>
              <td colspan="2">
                <table>
                  <tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
                  <tr><td><pre><code class="language-cql">library MPPPatientLevel

    using QICore version '4.1.1'

    include CQMCommon version '1.4.000' called CQMCommon
    include FHIRHelpers version '4.3.000' called FHIRHelpers
    include QICoreCommon version '1.5.000' called QICoreCommon
    include SupplementalDataElements version '3.4.000' called SDE
    include AttributionModel version '0.1.0' called AM

    valueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
    valueset &quot;Face-to-Face Interaction&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048'
    valueset &quot;HIV&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'
    valueset &quot;HIV Viral Load&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1002'
    valueset &quot;Home Healthcare Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
    valueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
    valueset &quot;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
    valueset &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'
    valueset &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
    valueset &quot;Preventive Care Services Other&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030'
    valueset &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'
    valueset &quot;Preventive Care, Established Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'
    valueset &quot;Telehealth Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031'
    valueset &quot;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'

    parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
      default Interval[@2024-01-01T00:00:00.000Z, @2025-01-01T00:00:00.000Z)

    context Patient

    define &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;:
      exists ( ( [&quot;Encounter&quot;: &quot;Office Visit&quot;]
          union [&quot;Encounter&quot;: &quot;Outpatient Consultation&quot;]
          union [&quot;Encounter&quot;: &quot;Annual Wellness Visit&quot;]
          union [&quot;Encounter&quot;: &quot;Face-to-Face Interaction&quot;]
          union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]
          union [&quot;Encounter&quot;: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
          union [&quot;Encounter&quot;: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
          union [&quot;Encounter&quot;: &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;]
          union [&quot;Encounter&quot;: &quot;Preventive Care, Established Office Visit, 0 to 17&quot;]
          union [&quot;Encounter&quot;: &quot;Telephone Visits&quot;]
        ) QualifyingEncounter
          where QualifyingEncounter.period during day of Interval[start of &quot;Measurement Period&quot;, start of &quot;Measurement Period&quot; + 240 days]
            and QualifyingEncounter.isAttributable()
      )

    define &quot;Initial Population&quot;:
      &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;
    </code></pre></td></tr>
                </table>
              </td>
            </tr>

            <tr>
              <td colspan="2">
                <table>
                  <tr><th><b>Content: </b> application/elm+xml</th></tr>
                  <tr><td><pre><code>Encoded data (42968 characters)</code></pre></td></tr>
                </table>
              </td>
            </tr>

        </table>
    </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
        <valueReference>
          <reference value="Device/cqf-tooling"/>
        </valueReference>
      </extension>
      <url value="http://ecqi.healthit.gov/ecqms/Library/MPPPatientLevel"/>
      <name value="MPPPatientLevel"/>
      <status value="draft"/>
      <experimental value="true"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="logic-library"/>
        </coding>
      </type>
      <date value="2026-05-13T23:09:13+00:00"/>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="QICore model information"/>
        <resource value="http://hl7.org/fhir/Library/QICore-ModelInfo"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library CQMCommon"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/CQMCommon|1.4.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library QICoreCommon"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|1.5.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library SDE"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.4.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library AM"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/AttributionModel|0.1.0"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Annual Wellness Visit"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Face-to-Face Interaction"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set HIV"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set HIV Viral Load"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1002"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Home Healthcare Services"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Office Visit"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Outpatient Consultation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services Established Office Visit, 18 and Up"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services Initial Office Visit, 18 and Up"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Preventive Care Services Other"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services, Initial Office Visit, 0 to 17"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care, Established Office Visit, 0 to 17"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024"/>
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