eCQM Content CMS Implementation Guide
2025.7.1 - CI Build

eCQM Content CMS Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.7.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-cms-2025/ and changes regularly. See the Directory of published versions

: eCQM FHIR Update 2025 - JSON Representation

Draft as of 2025-07-25

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{
  "resourceType" : "Library",
  "id" : "ecqm-fhir-update-2025",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/quality-program-cqfm"
    ]
  },
  "text" : {
    "status" : "extensions",
    "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 FHIR Update 2025</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-fhir-update-2025</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type program}\">Program</span> = <span title=\"Codes:{http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs ep-ec}, {http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs eh-cah}\">EP/EC</span></td>\n</tr>\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:{urn:iso:std:iso:3166 US}\">United States of America</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\">Centers for Medicare and Medicaid Services (CMS)</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>eCQM FHIR Update 2025</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 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "contained" : [
    {
      "resourceType" : "Parameters",
      "id" : "exp-params",
      "parameter" : [
        {
          "name" : "activeOnly",
          "valueBoolean" : true
        },
        {
          "name" : "includeDraft",
          "valueBoolean" : false
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0",
          "_valueCanonical" : {
            🔗 "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "ActCode, 9.0.0"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "urn:oid:2.16.840.1.113883.6.238|1.2",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "CDCREC, 1.2"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.ada.org/cdt|2023",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "CDT, 2023"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.ama-assn.org/go/cpt|2025",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "CPT, 2025"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://hl7.org/fhir/sid/cvx|20241216",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "CVX, 2024-12-16"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0",
          "_valueCanonical" : {
            🔗 "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "DataAbsentReason, 1.0.0"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|2025",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "HCPCS, 2025"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html|2022",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "HSLOC, 2022"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://hl7.org/fhir/sid/icd-10-cm|2025",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "ICD10CM, 2025"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.cms.gov/Medicare/Coding/ICD10|2025",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "ICD10PCS, 2025"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://hl7.org/fhir/sid/icd-9-cm|2013",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "ICD9CM, 2013"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://loinc.org|2.78",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "LOINC, 2.78"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding|2021",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "PresentOnAdmission, 2021"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.nlm.nih.gov/research/umls/rxnorm|01062025",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "RXNORM, 2025-01"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20240901",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "SNOMEDCT, 2024-09"
              }
            ]
          }
        },
        {
          "name" : "system-version",
          "valueCanonical" : "https://nahdo.org/sopt|9.2",
          "_valueCanonical" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/display",
                "valueString" : "SOP, 9.2"
              }
            ]
          }
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-partOf",
      "valueCanonical" : "http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-quality-program"
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-activeOnly",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-expansionParameters",
      "valueReference" : {
        "reference" : "#exp-params"
      }
    }
  ],
  "url" : "http://cts.nlm.nih.gov/fhir/Library/ecqm-fhir-update-2025",
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://cts.nlm.nih.gov/fhir/cqi/ecqm/Library/Identifier",
      "value" : "ecqm-fhir-update-2025"
    }
  ],
  "version" : "1.0.0",
  "name" : "eCQMFHIRUpdate2025",
  "title" : "eCQM FHIR Update 2025",
  "status" : "draft",
  "experimental" : false,
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "asset-collection"
      }
    ]
  },
  "date" : "2025-07-25",
  "publisher" : "Centers for Medicare and Medicaid Services (CMS)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.cms.gov/"
        }
      ]
    }
  ],
  "description" : "eCQM FHIR Update 2025",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "program"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
            "code" : "ep-ec",
            "display" : "EP/EC"
          },
          {
            "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
            "code" : "eh-cah",
            "display" : "EH/CAH"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ]
}