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

Libraries

2.0.0 Libaries

LibraryDescription
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.

CMS1017FHIRHHFI

CMS1017FHIRHHFI

CMS1218FHIRHHRF

CMS1218FHIRHHRF

CMS122FHIRDiabetesAssessGreaterThan9Percent

CMS122FHIRDiabetesAssessGreaterThan9Percent

CMS124FHIRCervicalCancerScreening

CMS124FHIRCervicalCancerScreening

CMS125FHIRBreastCancerScreening

CMS125FHIRBreastCancerScreening

CMS130FHIRColorectalCancerScreening

CMS130FHIRColorectalCancerScreening

CMS165FHIRControllingHighBloodPressure

CMS165FHIRControllingHighBloodPressure

CMS2FHIRPCSDepressionScreenAndFollowUp

CMS2FHIRPCSDepressionScreenAndFollowUp

CMS506FHIRSafeUseofOpioids

CMS506FHIRSafeUseofOpioids

CMS816FHIRHHHypo

CMS816FHIRHHHypo

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.

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.

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.

eCQM FHIR Update 2025

eCQM FHIR Update 2025

NHSNGlycemicControlHypoglycemiaInitialPopulation

NHSNGlycemicControlHypoglycemiaInitialPopulation

NHSNHelpers

NHSNHelpers

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 QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

SupplementalDataElements

This is the QI-Core 6.0.0 version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex