Capability statement for a repository service supporting additional authoring and content workflow capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository.

Capability statement for a repository service supporting additional publishing capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository.

Capability statement for a repository service supporting minimum required capabilities to share FHIR-based measure specifications. See the Publishable and Authoring Measure Repository capability statements for more comprehensive support for publishing and authoring workflows.

Basic conformance statement for a Measure Calculation Service. A server can support more functionality than defined here, but this is the minimum amount

Packages a specified canonical resource with dependencies.

This library is used as an example in the FHIR Quality Measure Implementation Guide

Advanced Illness and Frailty Exclusion Example Library

This library provides an illustration of using the ISO-8601-Dervied Periods code system to construct computable age ranges as a stratification for measures.

This library is the primary measure library for the Breast Cancer Screening component of the composite measure examples in this implementation guide.

This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide.

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is the common library for the terminology example measure

This library provides an example of logic for computing aggregates based on the results of measure calculations (i.e. aggregate calculation using MeasureReport resources).

This library provides an example of logic for an IA (Improvement Activities) measure.

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example module definition in the FHIR Quality Measure Implementation Guide

This library is used as an example module definition in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example module definition in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

Pneumococcal Vaccination Status for Older Adults

This library is an example quality program illustrating the use of a library to identify the set of measures that are specified for use in a quality program. The measures specified here are expected to be used with the version information specified in the eCQM Update 2024 content release manifest, as indicated by the dependency on that library.

This example illustrates logic for sharing supplemental data element calculation between multiple measures.

This library is used as an example in the FHIR Quality Measure Implementation Guide

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

This library is the primary measure library for the terminology example measure

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is an example final draft 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 quality measures.

This library is an example initial draft 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 CMS measures.

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.

The CQM Attestation Measure Profile describes an attestation scoring measure.

The cqm CQL Measure Profile describes minimum expectations for a computable electronic Quality Measure (QM) that uses Clinical Quality Language to represent computable logic in the measure.

The CQM Cohort Measure Profile describes a cohort scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The CQM Composite Measure Profile describes minimum expectations for a composite electronic Quality Measure (QM). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The CQM Computable Measure Profile describes minimum expectations for a computable electronic Quality Measure (QM), including the use of a computable library. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide. Implementations SHOULD support using the id elements of group, population, stratifier, and supplementalData as a backwards-compatible mechanism for linking between Measure and MeasureReport

The CQM Continuous Variable Measure Profile describes a continuous variable scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The cqm ELM Measure Profile describes minimum expectations for an executable electronic Clinical Quality Measure (eCQM) that uses ELM (i.e. compiled CQL) to represent the logic of the measure.

The CQM Executable Measure Profile describes minimum expectations for an executable electronic Quality Measure (QM), including a reference to an executable library. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The CQM Proportion Measure Profile describes a proportion scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The CQM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published Quality Measures (QMs). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The CQM Ratio Measure Profile describes a ratio scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.

The cqm Test Case Profile describes expectations for the definition and exchange of a measure test case, including input data and parameters, as well as expected outcome

Specifies which method to be used to aggregate the measure observation values.

Indicates the population that this stratifier should apply to. If no appliesTo extension is present, the stratifier is calculated based on the result of the population calculation (e.g. the calculated numerator for a proportion scoring).

Specifies an artifact this is a component of a composite artifact.

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.

Specifies the anchor date for the effective period as defined by a starting date and a range.

Specifies the reporting period for the measure.

Specifies the id of a particular group within the measure referenced by the related artifact resource.

Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

Additional Guidance: improvementNotation

Reference range with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality to the improvement notation value set.

Indicates what types of report the element on which it appears should be included in. If no values are specified, the default behavior is that elements are included in all report types

Indicates whether this instance represents the definition of a test case.

The CQM Limitations profile identifies what limitations should be noted, including potential selection biases and confounding factors when interpreting indicator results or comparing results across the country.

Specifies the operation definition

The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters. Note that the subject of a measure can be found in the element subject[x].

Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result.

A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.

The number of decimal places to include in the score when the score is a decimal-valued result.

Defines the expected units of measure for the measure score.

Provides additional guidance on the meaning and reporting of supplemental data elements included in the measure overall.

Provides a clear description of the test case.

identifies what issues might affect the interpretation of trending results, including changes in geographic coverage, data quality, coding standards and classification changes (for example, a new ICD standard)

Indicates the type of quality measure based on the observation value.

A value set defining the set of possible values that can be used to represent supplemental data or stratifier elements.

What is the weight of the contribution of this measure to the overall score.

establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement.

This is an example value set consisting of a subset of codes selected from Chronic Liver Disease (2.16.840.1.113883.3.464.1003.199.11.1065) for the purposes of illustrating a value set containing Legacy Codes.

All codes in the ISO-8601-Derived Periods code system. Note that this value set cannot be expanded because this set is effectively infinite, the set of all possible intervals of time.

The Intended Venue value set identifies codes used to distinguish measures that are developed with the intent to be used in a particular venue, establishing expectations for the types of data that will be available from systems in that environment.

establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement.

This value set incorporates all codes from the FHIR value set subject-type in addition to PractitionerRole and RelatedPerson from the FHIR resource-types code system.

Defines codes for the representation of age ranges that are unambiguous, human readable and machine-readable as a compositional grammar (i.e. the code system defines rules for constructing codes, rather than explicitly enumerating the possible codes). Age ranges are expressed through two simple durations as defined in the ISO 8601 specification.

Codes in the code system are defined according to the grammar:

An age range is defined as two durations: [duration1]--[duration2], where duration1 specifies the lower inclusive bound of the age range (everyone who is this age and above) and duration2 specifies the upper exclusive bound of the age range.

For example, the age range "1-9 years" means everyone who is at least one year old and less than 10 years old represented as P1Y--P10Y. The age range "10-14 years" means everyone who is at least 10 years old and less than 15 years old and is represented as P10Y--P15Y.

Durations define the amount of time between two time points. These durations are represented in the form P[n]Y[n]M[n]DT[n]H[n]M[n]S or P[n]W. The [n] is replaced by the value for each of the time elements that follow the [n] and the letters have the meaning:

• P is the duration designator (for period) placed at the start of the duration representation.
  • Y is the year designator that follows the value for the number of years.
  • M is the month designator that follows the value for the number of months.
  • W is the week designator that follows the value for the number of weeks.
  • D is the day designator that follows the value for the number of days.
• T is the time designator that precedes the time components of the representation.
  • H is the hour designator that follows the value for the number of hours.
  • M is the minute designator that follows the value for the number of minutes.
  • S is the second designator that follows the value for the number of seconds. (Note that seconds can be a decimal in this format to allow for milliseconds)

For example, P3Y6M4DT12H30M5S represents a duration of three years, six months, four days, twelve hours, thirty minutes, and five seconds.

Date and time elements including their designator may be omitted if their value is zero, and lower-order elements may also be omitted for reduced precision. For example, P23DT23H and P4Y are both acceptable duration representations. However, at least one element must be present, thus P is not a valid representation for a duration of 0 seconds. PT0S or P0D, however, are both valid and represent the same duration.

Note that the designator M is used for both months and minutes, but this is not ambiguous because the minutes designator must be preceded by the time designator T. For example P1M is one month, while PT1M is one minute.

Content for this code system is adapted from the definition in the IHE-ADX profile: https://www.ihe.net/uploadedFiles/Documents/QRPH/IHE_QRPH_Suppl_ADX.pdf (Appendix 8K Representation of Age Groups in ADX). In addition, the code system definition is adapted from similar content published as part of the SANER implementation guide. See Age Range Coding System.

The Intended Venue code system defines codes used to distinguish measures that are developed with the intent to be used in a particular venue, establishing expectations for the types of data that will be available from systems in that environment.

This code system establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement.

The mapping of FHIR aggregate method codes to the corresponding HL7 V3 code used in HQMF for each type of aggregate method

The mapping of FHIR composite measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of composite measure scoring

The mapping of FHIR measure data usage codes to the corresponding HL7 V3 code used in HQMF for each of the measure data usages

The mapping of FHIR improvement notation codes to the corresponding HL7 V3 code used in HQMF for each of the improvement notations

The mapping of FHIR measure population criteria codes to the corresponding HL7 V3 code used in HQMF for each of the measure population criteria components

The mapping of FHIR measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of measure scoring

The mapping of FHIR measure type codes to the corresponding HL7 V3 code used in HQMF for each of the measure type

This example illustrates the use of codesystem and valueset measure-stratifier-ages-example.

This is an example only.

Example of a transaction bundle

This is only an example.

Example of a Software System Device used to illustrate tooling, testing, or authoring system

An example FHIR-based measure.

An example FHIR-based attestation measure - Promoting Interoperability.

An example FHIR-based publishable measure

An example FHIR-based ratio measure.

This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission.

Percentage of women 21-64 years of age who were screened for cervical cancer.

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer.

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer.

Percentage of children 2-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode.

This example illustrates a continuous variable measure represented as a FHIR eCQM

Example of a Measure illustrating the use of supplemental data elements to gather additional information about a population

A measure to demonstrate limitations and trendingIssues extensions.

Example of a MeasureReport illustrating a test case

This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases.

This is an example only.

This is an example only.

This is an example only.

This artifact is an example of an all-or-nothing composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of an opportunity composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of a patient-level linear composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of a weighted composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

Example of a search parameter for a parameter name in a library

Example of a search paramter for an expansion identifier in a library

Example of a search parameter for a keyword in a value set

This example illustrates the use of terminology within a measure represented as a FHIR eCQM.

The input expansion parameters resource for this implementation guide, specifying SNOMED Edition and version. This resource will be contained within the published implementation guide with all pinned references.