Quality Measure Implementation Guide
1.0.0 - STU 1
Quality Measure Implementation Guide
1.0.0 - STU 1
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 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Library ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "Manifest-Release"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">eCQM Update 2024 - Release</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">1.0.0</td>\n</tr>\n\n\n\n\n\n\n\n \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">eCQM Update 2024</td>\n</tr>\n\n\n \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.28.28</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n\n<td class=\"content-container\">2024-04-23</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Last Review Date</th>\n\n\n<td class=\"content-container\">2024-04-23</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">Global (Whole world)</span></td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\"><div><p>This library is an example release of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of EP/EC measures.</p>\n</div></td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n\n<td class=\"content-container\"><div><p>This library is defined to illustrate a Version Manifest in release status, as it would look as part of the final publication an eCQM Annual Update cycle, approved on April 23rd, 2024, and published on May 2nd, 2024. The versions of code systems and value sets used by the measures is specified in the dependency references to provide stability for value set expansion for any use of the published content. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/library-type asset-collection}\">Asset Collection</span></td>\n</tr>\n\n\n\n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th>\n</tr>\n\n </tbody>\n </table>\n</div>"^^rdf:XMLLiteral
] ; #
fhir:contained ( [
a fhir:Parameters ;
fhir:id [ fhir:v "exp-params" ] ;
( fhir:parameter [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901"^^xsd:anyURI ;
fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://loinc.org|2.76"^^xsd:anyURI ;
fhir:link <http://loinc.org|2.76> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/CD2|2.0.1"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/CD2|2.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.ama-assn.org/go/cpt|3.0.1"^^xsd:anyURI ;
fhir:link <http://www.ama-assn.org/go/cpt|3.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/sid/cvx|4.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/cvx|4.0.0> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/sid/icd-10-cm|2.0.1"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/icd-10-cm|2.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.cms.gov/Medicare/Coding/ICD10|2.0.1"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/ICD10|2.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1"^^xsd:anyURI ;
fhir:link <http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1> ] ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "https://nahdo.org/sopt|1.0.1"^^xsd:anyURI ;
fhir:link <https://nahdo.org/sopt|1.0.1> ] ] )
] ) ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#exp-params" ] ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "cqi" ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/Library/Manifest-Release"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Library/Identifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "eCQM Update 2024" ]
] [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.61.28.28" ]
] ) ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "ECQMUpdate2024Release"] ; #
fhir:title [ fhir:v "eCQM Update 2024 - Release"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v true] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "asset-collection" ] ] )
] ; #
fhir:date [ fhir:v "2024-09-23"^^xsd:date] ; #
fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; #
fhir:contact ( [
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ] ] )
] ) ; #
fhir:description [ fhir:v "This library is an example release of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of EP/EC measures."] ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ] )
] ) ; #
fhir:purpose [ fhir:v "This library is defined to illustrate a Version Manifest in release status, as it would look as part of the final publication an eCQM Annual Update cycle, approved on April 23rd, 2024, and published on May 2nd, 2024. The versions of code systems and value sets used by the measures is specified in the dependency references to provide stability for value set expansion for any use of the published content. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release."] ; #
fhir:approvalDate [ fhir:v "2024-04-23"^^xsd:date] ; #
fhir:lastReviewDate [ fhir:v "2024-04-23"^^xsd:date] ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM55 - Median Emergency Department Visit Duration, 5.0.0" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM124 - Cervical Cancer Screening, 9.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM125 - Breast Cancer Screening, 8.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM130 - Colorectal Cancer Screening Measure, 8.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM146-FHIR|4.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM146-FHIR|4.0.0> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Library/Common|2.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Library/Common|2.0.000> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/cqm/Library/TJCOverall|4.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Library/TJCOverall|4.0.000> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/diagnosis-role> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/medicationrequest-category> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/administrative-gender> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62|20210409"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62|20210409> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52|20220219"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52|20220219> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424|20210220"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424|20210220> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247|20210220"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247|20210220> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45|20210220"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45|20210220> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143|20210611"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143|20210611> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292|20210611"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292|20210611> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87|20210611"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87|20210611> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308|20210220"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308|20210220> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309|20210611"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309|20210611> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209|20210220"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209|20210220> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207|20210611"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207|20210611> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:resource [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118> ]
] ) . #
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqm#1.0.0 based on FHIR 4.0.1. Generated 2025-08-27
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