Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot International flag

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 2.0.0-ballot 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

: eCQM Update 2024 - Release

Page standards status: Informative

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<Library xmlns="http://hl7.org/fhir">
  <id value="Manifest-Release"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header">Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">eCQM Update 2024 - Release</td>


</tr>



<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">1.0.0</td>


</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">eCQM Update 2024</td>


</tr>


  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.61.28.28</td>


</tr>




<tr>


<th scope="row" class="row-header">Approval Date</th>



<td class="content-container">2024-04-23</td>


</tr>


<tr>


<th scope="row" class="row-header">Last Review Date</th>



<td class="content-container">2024-04-23</td>


</tr>




<tr>


<th scope="row" class="row-header">Experimental</th>



<td class="content-container">true</td>


</tr>





<tr>


<th scope="row" class="row-header">Jurisdiction</th>



<td class="content-container">
    001 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a> 


</td>


</tr>








<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">HL7 International / Clinical Quality Information</td>


</tr>









<tr>


<th scope="row" class="row-header">Description</th>



<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>
</div></td>


</tr>



<tr>


<th scope="row" class="row-header">Purpose</th>



<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>
</div></td>


</tr>






<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    asset-collection from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a> 


</td>


</tr>



<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM55 - Median Emergency Department Visit Duration, 5.0.0
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM55-FHIR.html">EXM55 - Median Emergency Department Visit Durationversion: null5.0.0)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM108-FHIR.html">EXM108 - Venous Thromboembolism Prophylaxisversion: null8.2.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM124 - Cervical Cancer Screening, 9.0.000
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM124-FHIR.html">EXM124 - Cervical Cancer Screeningversion: null9.0.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM125 - Breast Cancer Screening, 8.0.000
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM125-FHIR.html">EXM125 - Breast Cancer Screeningversion: null8.0.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM130 - Colorectal Cancer Screening Measure, 8.0.000
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM130-FHIR.html">EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  
  

<th scope="row" class="row-header">Component</th>


  
  <td class="content-container">
    
    <em>Description</em>: EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Measure-EXM146-FHIR.html">EXM146 - Appropriate Testing for Children with Pharyngitisversion: null4.0.0)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/EXM146-FHIR|4.0.0</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <code>http://hl7.org/fhir/uv/cqm/Library/Common|2.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Library/Common|2.0.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <code>http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="Library-TJCOverall.html">TJC Overall Libraryversion: null4.0.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Library/TJCOverall|4.0.000</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-medicationrequest-category.html">MedicationRequest Category Codes</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/medicationrequest-category</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html">AdministrativeGender</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/administrative-gender</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.62/expansion">Antithrombotic Therapy for Ischemic Strokeversion: null20210409)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62|20210409</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.473/expansion">Medical Reason For Not Providing Treatmentversion: null20220212)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.93/expansion">Patient Refusalversion: null20230117)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.52/expansion">Pharmacological Contraindications For Antithrombotic Therapyversion: null20220219)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52|20220219</tt>
    
    
    
  </td>
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<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.424/expansion">Nonelective Inpatient Encounterversion: null20210220)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424|20210220</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.247/expansion">Ischemic Strokeversion: null20210220)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247|20210220</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/1.3.6.1.4.1.33895.1.3.0.45/expansion">Comfort Measuresversion: null20210220)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45|20210220</tt>
    
    
    
  </td>
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<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1111.143/expansion">Observation Servicesversion: null20210611)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143|20210611</tt>
    
    
    
  </td>
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<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.292/expansion">Emergency Department Visitversion: null20210611)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292|20210611</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.87/expansion">Discharge To Acute Care Facilityversion: null20210611)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87|20210611</tt>
    
    
    
  </td>
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<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.308/expansion">Left Against Medical Adviceversion: null20210220)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308|20210220</tt>
    
    
    
  </td>
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<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.309/expansion">Patient Expiredversion: null20210611)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309|20210611</tt>
    
    
    
  </td>
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<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.209/expansion">Discharged to Home for Hospice Careversion: null20210220)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209|20210220</tt>
    
    
    
  </td>
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<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.207/expansion">Discharged to Health Care Facility for Hospice Careversion: null20210611)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207|20210611</tt>
    
    
    
  </td>
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<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer Typeversion: null20221118)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118</tt>
    
    
    
  </td>
</tr>








<tr>


<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>


</tr>


<tr>


<th scope="row" class="row-header">Parameter</th>



<td class="content-container">None</td>


</tr>







<tr>


<th colspan="2" scope="row" class="row-header"><a name="expansion-parameters"> </a>Expansion Parameters</th>


</tr>
<tr>
  

<th scope="row" class="row-header"/>


  <td class="content-container">
    <table>
      <thead>
        <tr>
          <td><em>Name</em></td>
          <td><em>Value</em></td>
       </tr>
      </thead>
      <tbody>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <code>http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901</code>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <code>http://loinc.org|2.76</code>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html">ActCodeversion: null9.0.0)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-AdministrativeGender.html">AdministrativeGenderversion: null3.0.0)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CD2.html">CDT-2 Codesversion: null2.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)version: null3.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CVX.html">Vaccine Administered Code Set (CVX)version: null4.0.0)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-HCPCS-all-codes.html">HCFA Procedure Codes (HCPCS)version: null3.0.0)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-hcpcs-Level-II.html">Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codesversion: null1.0.2)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)version: null2.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-icd10PCS.html">ICD-10 Procedure Codesversion: null2.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-icd9cm.html">ICD-9CMversion: null2.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v2-0895.html">nubc-PresentOnAdmission-csversion: null2.2.0)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-rxNorm.html">RxNormversion: null3.0.1)</a>
          </td>
        </tr>
      
        <tr>
          <td>system-version</td>
          <td>
            
            <a href="http://terminology.hl7.org/6.5.0/CodeSystem-SOPT.html">Source of Payment Typologyversion: null1.0.1)</a>
          </td>
        </tr>
      
      </tbody>
    </table>
  </td>
</tr>






<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Parameters>
      <id value="exp-params"/>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://loinc.org|2.76"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/CD2|2.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://www.ama-assn.org/go/cpt|3.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://hl7.org/fhir/sid/cvx|4.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://hl7.org/fhir/sid/icd-10-cm|2.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.cms.gov/Medicare/Coding/ICD10|2.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="https://nahdo.org/sopt|1.0.1"/>
      </parameter>
    </Parameters>
  </contained>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters">
    <valueReference>
      <reference value="#exp-params"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/>
  </extension>
  <url value="http://hl7.org/fhir/uv/cqm/Library/Manifest-Release"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Library/Identifier"/>
    <value value="eCQM Update 2024"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.61.28.28"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="ECQMUpdate2024Release"/>
  <title value="eCQM Update 2024 - Release"/>
  <status value="active"/>
  <experimental value="true"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="asset-collection"/>
    </coding>
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  <date value="2024-09-23"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="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."/>
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    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
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  </jurisdiction>
  <purpose
           value="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."/>
  <approvalDate value="2024-04-23"/>
  <lastReviewDate value="2024-04-23"/>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="EXM55 - Median Emergency Department Visit Duration, 5.0.0"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="EXM124 - Cervical Cancer Screening, 9.0.000"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="EXM125 - Breast Cancer Screening, 8.0.000"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="EXM130 - Colorectal Cancer Screening Measure, 8.0.000"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Measure/EXM146-FHIR|4.0.0"/>
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    <type value="depends-on"/>
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              value="http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0"/>
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    <type value="depends-on"/>
    <resource value="http://hl7.org/fhir/uv/cqm/Library/TJCOverall|4.0.000"/>
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    <type value="depends-on"/>
    <resource value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
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    <resource
              value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
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    <resource value="http://hl7.org/fhir/administrative-gender"/>
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    <resource
              value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118"/>
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