eCQM QICore Content Implementation Guide
2025.0.0 - CI Build
eCQM QICore Content Implementation Guide
2025.0.0 - CI Build
eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 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-2025/ and changes regularly. See the Directory of published versions
| Active as of 2025-04-15 |
{
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"id" : "CMS349FHIRHIVScreening",
"meta" : {
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🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"🔗 ,
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.3.000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">https://madie.cms.gov/Library/CMS349FHIRHIVScreening</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n official\n \n </b>\n </th>\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>CMS349FHIRHIVScreening</span>\n </p>\n \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/library-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>logic-library</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2025-04-15T18:46:00+00:00</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Centers for Disease Control and Prevention (CDC)</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</li>\n \n <li>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</li>\n \n <li>https://madie.cms.gov/Library/QICoreCommon|4.0.000</li>\n \n <li>http://loinc.org</li>\n \n <li>http://terminology.hl7.org/CodeSystem/condition-ver-status</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Data Requirements:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n \n <tr>\n <th>Patient</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>\n <th>;;;</th>\n <th>\n \n </th>\n </tr>\n \n <tr>\n <th>Observation</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab</th>\n <th>;;;;;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>code</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Observation</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab</th>\n <th>;;;;;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>code</span>\n </span>\n \n <br/>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://loinc.org</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>75622-1</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>HIV 1 and 2 tests - Meaningful Use set</span>\n </p>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Coverage</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage</th>\n <th>;;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>type</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Condition</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>code</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Condition</th>\n <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis</th>\n <th>;</th>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n <span style=\"padding-left: 4px;\">\n <b>path: </b><span>code</span>\n </span>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</span>\n </span>\n \n \n \n </th>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n \n <tr>\n <td colspan=\"2\">\n <table>\n <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n <tr><td><pre><code class=\"language-cql\">library CMS349FHIRHIVScreening version '0.3.000'\r\n\r\nusing QICore version '6.0.0'\r\n\r\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\r\ninclude SupplementalDataElements version '5.1.000' called SDE\r\ninclude CQMCommon version '4.0.000' called CQMCommon\r\ninclude QICoreCommon version '4.0.000' called QICoreCommon\r\n\r\ncodesystem "LOINC": 'http://loinc.org'\r\ncodesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'\r\ncodesystem "ConditionClinicalStatusCodes": 'http://terminology.hl7.org/CodeSystem/condition-clinical'\r\ncodesystem "ConditionVerificationStatus": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'\r\ncodesystem "SNOMEDCT": 'http://snomed.info/sct'\r\n\r\nvalueset "HIV": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'\r\nvalueset "Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50'\r\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\r\nvalueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\r\nvalueset "Preventive Care Services, Initial Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'\r\nvalueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\r\nvalueset "Preventive Care, Established Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'\r\n\r\ncode "Birth date": '21112-8' from "LOINC" display 'Birth date'\r\ncode "HIV 1 and 2 tests - Meaningful Use set": '75622-1' from "LOINC" display 'HIV 1 and 2 tests - Meaningful Use set'\r\ncode "AMB": 'AMB' from "ActCode" display 'Ambulatory'\r\ncode "active": 'active' from "ConditionClinicalStatusCodes"\r\ncode "refuted": 'refuted' from "ConditionVerificationStatus"\r\ncode "Dead (finding)": '419099009' from "SNOMEDCT" display 'Dead (finding)'\r\n\r\nparameter "Measurement Period" Interval<DateTime>\r\n\r\ncontext Patient\r\n\r\ndefine "Initial Population":\r\n AgeInYearsAt(date from start of "Measurement Period") in Interval[15, 65]\r\n and exists "Qualifying Encounters"\r\n\r\ndefine "Denominator":\r\n "Initial Population"\r\n\r\ndefine "Numerator":\r\n ( "Has HIV Test Performed" )\r\n\r\ndefine "Denominator Exclusions":\r\n exists ( ( [ConditionProblemsHealthConcerns: "HIV"]\r\n union [ConditionEncounterDiagnosis: "HIV"] ) HIVDiagnosis\r\n where HIVDiagnosis.prevalenceInterval ( ) starts before day of start of "Measurement Period"\r\n and HIVDiagnosis.verificationStatus !~ "refuted"\r\n )\r\n\r\ndefine "Denominator Exceptions":\r\n "Patient Expired"\r\n\r\ndefine "Qualifying Encounters":\r\n ( ["Encounter": type in "Preventive Care Services, Initial Office Visit, 0 to 17"]\r\n union ["Encounter": type in "Preventive Care Services-Initial Office Visit, 18 and Up"]\r\n union ["Encounter": type in "Preventive Care, Established Office Visit, 0 to 17"]\r\n union ["Encounter": type in "Preventive Care Services - Established Office Visit, 18 and Up"]\r\n union ["Encounter": type in "Office Visit"] ) Encounter\r\n where Encounter.period during day of "Measurement Period"\r\n and Encounter.status = 'finished'\r\n\r\ndefine "Patient Expired":\r\n Patient.deceased on or before end of "Measurement Period"\r\n\r\ndefine "Has HIV Test Performed":\r\n exists ( ["LaboratoryResultObservation": "Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)"]\r\n union ["LaboratoryResultObservation": "HIV 1 and 2 tests - Meaningful Use set"] ) HIVTest\r\n where HIVTest.value is not null\r\n and AgeInYearsAt(date from start of HIVTest.effective.toInterval()) in Interval[15, 65]\r\n and HIVTest.effective.toInterval ( ) starts before end of "Measurement Period"\r\n and ( HIVTest.status = 'final'\r\n or HIVTest.status = 'amended'\r\n or HIVTest.status = 'corrected'\r\n )\r\n\r\ndefine "SDE Ethnicity":\r\n SDE."SDE Ethnicity"\r\n\r\ndefine "SDE Payer":\r\n SDE."SDE Payer"\r\n\r\ndefine "SDE Race":\r\n SDE."SDE Race"\r\n\r\ndefine "SDE Sex":\r\n SDE."SDE Sex"</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n \n </table>\n</div>"
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"url" : "https://madie.cms.gov/Library/CMS349FHIRHIVScreening",
"identifier" : [
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"system" : "https://madie.cms.gov/login",
"value" : "CMS349FHIRHIVScreening"
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],
"version" : "0.3.000",
"name" : "CMS349FHIRHIVScreening",
"title" : "CMS349FHIRHIVScreening",
"status" : "active",
"experimental" : false,
"type" : {
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"date" : "2025-04-15T18:46:00+00:00",
"publisher" : "Centers for Disease Control and Prevention (CDC)",
"description" : "CMS349FHIRHIVScreening",
"content" : [
{
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}
]
}