CMS Draft FHIR Measures
2024.1.0 - CI Build

CMS Draft FHIR Measures, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2024/ and changes regularly. See the Directory of published versions

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Knowledge Artifacts: Measure

These define measures as part of content in this implementation guide.

Breast Cancer ScreeningFHIR | Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period
Colorectal Cancer ScreeningFHIR | Percentage of adults 45-75 years of age who had appropriate screening for colorectal cancer
Controlling High Blood PressureFHIR | Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period
Diabetes: Glycemic Status Assessment Greater Than 9%FHIR | Percentage of patients 18-75 years of age with diabetes who had a glycemic status assessment (hemoglobin A1c [HbA1c] or glucose management indicator [GMI]) > 9.0% during the measurement period
Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR | Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter.

### Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

AdultOutpatientEncounters | This library contains a definition used to identify denominator qualifying encounters.
AdvancedIllnessandFrailty | This library contains definitions used to exclude patients 66 and older with an indication of frailty who also meet advanced illness criteria, and patients 66 and older who are living long term in a nursing home.
Breast Cancer Screening FHIR | Breast Cancer Screening FHIR
CQMCommon | This library contains declarations that are commonly used in eCQMs and shared across the logic of multiple measures, such as the Encounter Inpatient value set, and the Inpatient Encounter population criteria definition. This library also contains functions for calculating hospitalization duration as well as hospital arrival and departure times.
Colon Cancer Screening FHIR | Colon Cancer Screening FHIR
Controlling High Blood Pressure FHIR | Controlling High Blood Pressure FHIR
CumulativeMedicationDuration | This library provides cumulative medication duration calculation logic for use with FHIR medication prescription, administration, and dispensing resources. The logic here follows the guidance provided as part of the 5.6 version of Quality Data Model.
DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR | DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR
FHIRHelpers | This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation. For more information, the FHIRHelpers wiki page: https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers
Hospice | This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period.
PCSDepressionScreenAndFollowUpFHIR | PCSDepressionScreenAndFollowUpFHIR
PalliativeCare | This library contains a definition used to exclude patients receiving palliative care for any part of the measurement period.
QICoreCommon | Common terminologies and functions used in QI-Core-based CQL artifacts
Status | This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QDM 5.6 to QICore 4.1.1 Mapping.
SupplementalDataElements | This is the QI-Core version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Gender