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

Library: MPPEncounterLevel (Experimental)

Official URL: http://ecqi.healthit.gov/ecqms/Library/MPPEncounterLevel Version:
Draft as of 2026-05-13 Computable Name: MPPEncounterLevel
Id: MPPEncounterLevel
Url: MPPEncounterLevel
Name: MPPEncounterLevel
Status: draft
Experimental: true
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2026-05-13 23:09:13+0000
Related Artifacts:

Dependencies
Parameters:
NameTypeMinMaxIn/Out
Measurement PeriodPeriod01In
Providerstring01In
PatientResource01Out
Non Elective Inpatient EncounterResource0*Out
All Stroke EncounterResource0*Out
Encounter with Principal Diagnosis and AgeResource0*Out
Initial PopulationResource0*Out
Data Requirements:
TypeProfileMSCode Filter
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ;;;;;;; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424
Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ;;
Content: text/cql
library MPPEncounterLevel

using QICore version '4.1.1'

include FHIRHelpers version '4.3.000' called FHIRHelpers
include CQMCommon version '1.4.000' called CQMCommon
include QICoreCommon version '1.5.000' called QICoreCommon
include SupplementalDataElements version '3.4.000' called SDE
include TJCOverall version '8.9.000' called TJC
include AttributionModel version '0.1.0' called AM

valueset "Antithrombotic Therapy for Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62'
valueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'
valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'
valueset "Medical Reason For Not Providing Treatment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'
valueset "Nonelective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'
valueset "Patient Refusal": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'
valueset "Pharmacological Contraindications For Antithrombotic Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2024-01-01T00:00:00.000Z, @2025-01-01T00:00:00.000Z)

context Patient

define "Non Elective Inpatient Encounter":
  ["Encounter": "Nonelective Inpatient Encounter"] NonElectiveEncounter
        where NonElectiveEncounter.period ends during day of "Measurement Period"

define "All Stroke Encounter":
  "Non Elective Inpatient Encounter" NonElectiveEncounter
  let ConditionCode: NonElectiveEncounter.principalDiagnosis().code
    where ( ConditionCode in "Hemorrhagic Stroke"
       or   ConditionCode in "Ischemic Stroke" )  

define "Encounter with Principal Diagnosis and Age":
  "All Stroke Encounter" AllStrokeEncounter
    where AgeInYearsAt(date from start of AllStrokeEncounter.period ) >= 18

define "Initial Population":
  "Encounter with Principal Diagnosis and Age" Encounter
    where Encounter.isAttributable()
Content: application/elm+xml
Encoded data (31496 characters)