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 - XML Representation

Draft as of 2025-07-25

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="ecqm-fhir-update-2025"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/quality-program-cqfm"/>
  </meta>
  <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 FHIR Update 2025</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-fhir-update-2025</td>
</tr>







<tr>


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


<td class="content-container">Draft</td>
</tr>





<tr>


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


<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>
</tr>


<tr>


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


<td class="content-container"><span title="Codes:{urn:iso:std:iso:3166 US}">United States of America</span></td>
</tr>








<tr>


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


<td class="content-container">Centers for Medicare and Medicaid Services (CMS)</td>
</tr>









<tr>


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


<td class="content-container"><div><p>eCQM FHIR Update 2025</p>
</div></td>
</tr>






<tr>


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


<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/library-type asset-collection}">Asset Collection</span></td>
</tr>




<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>
</tr>

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