eCQM QICore Content Subset Implementation Guide
2024.0.0 - CI Build

eCQM QICore Content Subset Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2024-subset/ 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.

Core Clinical Data Elements for the Hybrid Hospital Wide All Condition All Procedure Risk Standardized Mortality Measure HWMFHIR

This logic is intended to extract electronic clinical data. This is not an electronic clinical quality measure and this logic will not produce measure results. Instead, it will produce a file containing the data that CMS will link with administrative claims to risk adjust the Hybrid HWM outcome measure. It is designed to extract the first resulted set of vital signs and basic laboratory results obtained from hospitalizations for adult Medicare Fee-For-Service (FFS) and Medicare Advantage (MA) patients admitted to acute care hospitals.

Discharged on Antithrombotic TherapyFHIR

Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge

Global Malnutrition Composite ScoreFHIR

This measure assesses the percentage of hospitalizations of adults aged 65 years and older at the start of the inpatient encounter during the measurement period, with a length of stay equal to or greater than 24 hours, who received optimal malnutrition care where care performed was appropriate to the patient’s level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are (1) screened for malnutrition risk or for a hospital dietitian referral order to be placed, (2) assessed by a registered dietitian (RD) or registered dietitian nutritionist (RDN) to confirm findings of malnutrition risk, and if identified with a “moderate” or “severe” malnutrition status in the current performed malnutrition assessment, (3) receive a current “moderate” or “severe” malnutrition diagnosis by a physician or eligible provider as defined by the Centers for Medicare & Medicaid Services (CMS), and (4) have a current nutrition care plan performed by an RD/RDN.

HIV ScreeningFHIR

Percentage of patients aged 15-65 at the start of the measurement period who were between 15-65 years old when tested for human immunodeficiency virus (HIV).

Hospital Harm - Severe HyperglycemiaFHIR

This measure assesses the number of inpatient hospital days for patients age 18 and older with a hyperglycemic event (harm) per the total qualifying inpatient hospital days for that encounter

Primary Caries Prevention Intervention as Offered by DentistsFHIR

Percentage of children, 1-20 years of age, who received two fluoride varnish applications during the measurement period as determined by a dentist

Severe Obstetric ComplicationsFHIR

Patients with severe obstetric complications that occur during the inpatient delivery hospitalization

Knowledge Artifacts: Libraries

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

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.

DischargedonAntithromboticTherapyFHIR

DischargedonAntithromboticTherapyFHIR

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

GlobalMalnutritionCompositeFHIR

GlobalMalnutritionCompositeFHIR

HIVScreeningFHIR

HIVScreeningFHIR

Hospice

This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period.

HospitalHarmHyperglycemiainHospitalizedPatientsFHIR

HospitalHarmHyperglycemiainHospitalizedPatientsFHIR

HybridHospitalWideMortalityFHIR

HybridHospitalWideMortalityFHIR

PCMaternal

This library specifies common data elements used by PC01, PC02, PC07.

PrimaryCariesPreventionasOfferedbyDentistsFHIR

PrimaryCariesPreventionasOfferedbyDentistsFHIR

QICoreCommon

Common terminologies and functions used in QI-Core-based CQL artifacts

SevereObstetricComplicationsFHIR

SevereObstetricComplicationsFHIR

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

TJCOverall

Common functions and definitions used by TJC measures

eCQM Annual Update 2024

This library is an example initial draft of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of CMS measures.

eCQM Update 2024-05-02

This library is an example final draft of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of EP/EC measures.

eCQM Update 2024-05-02

This library is an example a fully specified content release (also referred to as a version manifest) that specifies expansion rules for a set of value sets used for an example set of measures published together.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Extended Usage Context Type

Additional codes for use in identifying usage contexts for conformance artifacts.

Intended Care Setting

Identifies the intended care setting for a knowledge artifact such as a quality measure or decision support rule. Characterizes the type of information that is expected to be available to the artifact, such as hospital, clinic, or laboratory.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Extended Usage Context Type Codes

Additional codes for identifying usage context types. These codes are intended to be added to the UsageContextType code system.

Intended Care Setting Codes

Codes that identify the intended care setting for a knowledge artifact such as a quality measure or decision support rule. The intended care setting characterizes the types of information that are expected to be available to be used by the logic, such as hospital, clinic, or laboratory.