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

: eCQM Update QI Core 2025 - XML Representation

Draft as of 2025-05-06

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="Manifest-Partial-Set-FinalDraft-2025"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"/>
  </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 Update QI Core 2025</td>
</tr>



<tr>


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


<td class="content-container">1.0.0-draft</td>
</tr>







  
<tr>


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


<td class="content-container">eCQM Update QI Core 2025</td>
</tr>




<tr>


<th scope="row" class="row-header">Approval Date</th>


<td class="content-container">2025-05-06</td>
</tr>


<tr>


<th scope="row" class="row-header">Last Review Date</th>


<td class="content-container">2025-05-06</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">Experimental</th>


<td class="content-container">true</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">Clinical Quality Information WG</td>
</tr>









<tr>


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


<td class="content-container"><div><p>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.</p>
</div></td>
</tr>



<tr>


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


<td class="content-container"><div><p>This library is defined to illustrate a Version Manifest in final draft status, as it would look at the end of an eCQM Annual Update cycle, approved on April 23rd, 2024. The latest available version of code systems used at that time is specified to provide stability for value set expansion during the testing and implementation phase. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release.</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="system-version"/>
        <valueCanonical
                        value="http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://loinc.org|2.76"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="urn:oid:2.16.840.1.113883.6.238|1.2"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://www.ama-assn.org/go/cpt|2024"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://hl7.org/fhir/sid/cvx|20231102"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|2024"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="http://hl7.org/fhir/sid/icd-10-cm|2024"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.cms.gov/Medicare/Coding/ICD10|2024"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical
                        value="http://www.nlm.nih.gov/research/umls/rxnorm|01022024"/>
      </parameter>
      <parameter>
        <name value="system-version"/>
        <valueCanonical value="https://nahdo.org/sopt|9.2"/>
      </parameter>
    </Parameters>
  </contained>
  <contained>
    <Parameters>
      <id value="endpoints"/>
      <parameter>
        <name value="artifactEndpointConfiguration"/>
        <part>
          <name value="artifactRoute"/>
          <valueUri
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167|20220820"/>
        </part>
        <part>
          <name value="endpointUri"/>
          <valueUri value="https://example.org/fhir/"/>
        </part>
      </parameter>
      <parameter>
        <name value="artifactEndpointConfiguration"/>
        <part>
          <name value="artifactRoute"/>
          <valueUri value="http://cts.nlm.nih.gov/fhir/"/>
        </part>
        <part>
          <name value="endpointUri"/>
          <valueUri value="https://uat-cts.nlm.nih.gov/fhir/"/>
        </part>
      </parameter>
      <parameter>
        <name value="artifactEndpointConfiguration"/>
        <part>
          <name value="artifactRoute"/>
          <valueUri value="http://terminology.hl7.org/"/>
        </part>
        <part>
          <name value="endpointUri"/>
          <valueUri value="https://tx.fhir.org/r4/"/>
        </part>
      </parameter>
      <parameter>
        <name value="artifactEndpointConfiguration"/>
        <part>
          <name value="artifactRoute"/>
          <valueUri value="http://hl7.org/fhir/"/>
        </part>
        <part>
          <name value="endpointUri"/>
          <valueUri value="https://tx.fhir.org/r4/"/>
        </part>
      </parameter>
    </Parameters>
  </contained>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters">
    <valueReference>
      <reference value="#exp-params"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-endpointConfiguration">
    <valueReference>
      <reference value="#endpoints"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <url
       value="http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-update-qi-core-2025"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Library/Identifier"/>
    <value value="eCQM Update QI Core 2025"/>
  </identifier>
  <version value="1.0.0-draft"/>
  <name value="ECQMUpdateQICore2025"/>
  <title value="eCQM Update QI Core 2025"/>
  <status value="draft"/>
  <experimental value="true"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="asset-collection"/>
    </coding>
  </type>
  <date value="2025-05-06"/>
  <publisher value="Clinical Quality Information WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This library is defined to illustrate a Version Manifest in final draft status, as it would look at the end of an eCQM Annual Update cycle, approved on April 23rd, 2024. The latest available version of code systems used at that time is specified to provide stability for value set expansion during the testing and implementation phase. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release."/>
  <approvalDate value="2025-05-06"/>
  <lastReviewDate value="2025-05-06"/>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS2FHIRPCSDepressionScreenAndFollowUp|0.4.001"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS22FHIRPCSBPScreeningFollowUp|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Documentation of Current Medications in the Medical RecordFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS68FHIRDocumentationofCurrentMedications|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Anticoagulation Therapy for Atrial Fibrillation/FlutterFHIR, 0.3.002"/>
    <resource
              value="https://madie.cms.gov/Library/CMS71FHIRSTKAnticoagAFFlutter|0.3.002"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Antithrombotic Therapy By End of Hospital Day 2FHIR, 0.7.002"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS72FHIRSTKAntithromboticDay2|0.7.002"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Discharged on Antithrombotic TherapyFHIR, 0.9.003"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS104FHIRSTKDCAntithrombotic|0.9.003"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Diabetes: Glycemic Status Assessment Greater Than 9%FHIR, 0.5.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS122FHIRDiabetesAssessGreaterThan9Percent|0.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Cervical Cancer ScreeningFHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS124FHIRCervicalCancerScreening|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Breast Cancer ScreeningFHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS125FHIRBreastCancerScreening|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Colorectal Cancer ScreeningFHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS130FHIRColorectalCancerScreening|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract SurgeryFHIR, 0.2.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS133FHIRCataracts2040BCVAwithin90Days|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)FHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS135FHIRHFACEIorARBorARNIforLVSD|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes CareFHIR, 0.2.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS142FHIRDRCommunicationWithPhysicianManagingDiabetes|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Primary Open-Angle Glaucoma (POAG): Optic Nerve EvaluationFHIR, 0.2.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS143FHIRPOAGOpticNerveEvaluation|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)FHIR, 1.5.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS144FHIRHFBetaBlockerTherapyforLVSD|1.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%)FHIR, 0.4.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS145FHIRCADBetaBlockerTherapyPriorMIorLVSD|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Dementia: Cognitive AssessmentFHIR, 0.2.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS149FHIRDementiaCognitiveAssessment|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Depression Remission at Twelve MonthsFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS159FHIRDepressionRemissionatTwelveMonths|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Controlling High Blood PressureFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS165FHIRControllingHighBloodPressure|0.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Intensive Care Unit Venous Thromboembolism ProphylaxisFHIR, 0.3.001"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS190VTEProphylaxisICUFHIR|0.3.001"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Cesarean BirthFHIR, 0.6.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS0334FHIRPCCesareanBirth|0.6.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Safe Use of Opioids - Concurrent PrescribingFHIR, 0.3.007"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS506FHIRSafeUseofOpioids|0.3.007"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation TherapyFHIR, 1.5.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS645FHIRBoneDensityProstateCancerAndrogenDeprivationTherapy|1.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder CancerFHIR, 1.5.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS646FHIRIntravesicalBacillusCalmetteGuerinForBladderCancer|1.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic HyperplasiaFHIR, 1.5.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS771FHIRUrinarySymptomScoreChangeBenignProstaticHyperplasia|1.5.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Hospital Harm - Severe HypoglycemiaFHIR, 0.3.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS816FHIRHHHypo|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Hospital Harm - Opioid-Related Adverse EventsFHIR, 0.4.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS819FHIRHHORAE|0.4.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Hospital Harm - Pressure InjuryFHIR, 0.3.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS826FHIRHHPI|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Hospital Harm -  Acute Kidney InjuryFHIR, 0.2.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS832HHAKIFHIR|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Hospital Harm - Severe HyperglycemiaFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS871HHHyperFHIR|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Malnutrition Care ScoreFHIR, 0.3.003"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS986FHIRMalnutritionScore|0.3.003"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Hospital Harm – Falls with InjuryFHIR, 0.2.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS1017FHIRHHFI|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display value="Severe Obstetric ComplicationsFHIR, 0.3.000"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS1028FHIRPCSevereOBComps|0.3.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography in Adults - Facility IQR FHIR, 0.9.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS1074FHIRCTIQR|0.9.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography in Adults - Facility OQR FHIR, 0.8.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS1206FHIRCTOQR|0.8.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Hospital Harm - Postoperative Respiratory FailureFHIR, 0.2.000"/>
    <resource value="https://madie.cms.gov/Measure/CMS1218FHIRHHRF|0.2.000"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Emergency Care Access &amp; Timeliness (HOQR)FHIR, 0.4.001"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS1244FHIRECATHOQR|0.4.001"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Emergency Care Access &amp; Timeliness (REHQR)FHIR, 0.5.001"/>
    <resource
              value="https://madie.cms.gov/Measure/CMS1264FHIRECATREHQR|0.5.001"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <display
             value="Core Clinical Data Elements HW Mortality FHIR, Draft based on 0.5.001"/>
    <resource
              value="https://madie.cms.gov/Measure/CMSFHIR844HybridHospitalWideMortality|Draft based on 0.5.001"/>
  </relatedArtifact>
</Library>