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 - TTL Representation

Draft as of 2025-07-25

Raw ttl | Download


@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 "ecqm-fhir-update-2025"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/quality-program-cqfm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/quality-program-cqfm>     ] )
  ] ; # 
  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 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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:contained ( [
a fhir:Parameters ;
fhir:id [ fhir:v "exp-params" ] ;
    ( fhir:parameter [
fhir:name [ fhir:v "activeOnly" ] ;
fhir:value [
a fhir:boolean ;
fhir:v true       ]     ] [
fhir:name [ fhir:v "includeDraft" ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] [
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:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ActCode, 9.0.0"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "urn:oid:2.16.840.1.113883.6.238|1.2"^^xsd:anyURI ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "CDCREC, 1.2"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.ada.org/cdt|2023"^^xsd:anyURI ;
fhir:link <http://www.ada.org/cdt|2023> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "CDT, 2023"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.ama-assn.org/go/cpt|2025"^^xsd:anyURI ;
fhir:link <http://www.ama-assn.org/go/cpt|2025> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "CPT, 2025"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/sid/cvx|20241216"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/cvx|20241216> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "CVX, 2024-12-16"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "DataAbsentReason, 1.0.0"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|2025"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|2025> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "HCPCS, 2025"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html|2022"^^xsd:anyURI ;
fhir:link <https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html|2022> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "HSLOC, 2022"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/sid/icd-10-cm|2025"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/icd-10-cm|2025> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ICD10CM, 2025"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.cms.gov/Medicare/Coding/ICD10|2025"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/ICD10|2025> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ICD10PCS, 2025"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/sid/icd-9-cm|2013"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/icd-9-cm|2013> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ICD9CM, 2013"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://loinc.org|2.78"^^xsd:anyURI ;
fhir:link <http://loinc.org|2.78> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "LOINC, 2.78"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding|2021"^^xsd:anyURI ;
fhir:link <https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding|2021> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "PresentOnAdmission, 2021"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm|01062025"^^xsd:anyURI ;
fhir:link <http://www.nlm.nih.gov/research/umls/rxnorm|01062025> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "RXNORM, 2025-01"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20240901"^^xsd:anyURI ;
fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20240901> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "SNOMEDCT, 2024-09"           ]         ] )       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
a fhir:canonical ;
fhir:v "https://nahdo.org/sopt|9.2"^^xsd:anyURI ;
fhir:link <https://nahdo.org/sopt|9.2> ;
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "SOP, 9.2"           ]         ] )       ]     ] )
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-partOf"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-quality-program"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-quality-program>     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-activeOnly"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v true     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-expansionParameters"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#exp-params" ]     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://cts.nlm.nih.gov/fhir/Library/ecqm-fhir-update-2025"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://cts.nlm.nih.gov/fhir/cqi/ecqm/Library/Identifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ecqm-fhir-update-2025" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "eCQMFHIRUpdate2025"] ; # 
  fhir:title [ fhir:v "eCQM FHIR Update 2025"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  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 "2025-07-25"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Centers for Medicare and Medicaid Services (CMS)"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.cms.gov/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "eCQM FHIR Update 2025"] ; # 
  fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "program" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ep-ec" ] ;
fhir:display [ fhir:v "EP/EC" ]       ] [
fhir:system [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eh-cah" ] ;
fhir:display [ fhir:v "EH/CAH" ]       ] )     ]
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) . #