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 2025-08-20 |
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"version" : "2.76",
"code" : "11639-2",
"display" : "[#] Births.term"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "456381000124102",
"display" : "Injection of leuprolide acetate for twelve month period (regime/therapy)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "254292007",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
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"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "1228889001",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "1228884006",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "1228883000",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"version" : "2024",
"code" : "D09.0",
"display" : "Carcinoma in situ of bladder"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "169331000",
"display" : "Combined radiotherapy (procedure)"
}
},
{
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"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "80976-4",
"display" : "International Prostate Symptom Score [IPSS]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "80883-2",
"display" : "American Urological Association Symptom Index [AUASI]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "81090-3",
"display" : "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"version" : "2024",
"code" : "N40.1",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "8709-8",
"display" : "Physical findings of Skin"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
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"system" : "http://loinc.org",
"version" : "2.76",
"code" : "9279-1",
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}
},
{
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"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
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}
},
{
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"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "8867-4",
"display" : "Heart rate"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
"version" : "2021",
"code" : "Y"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "96914-7",
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}
},
{
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"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "96912-1",
"display" : "Calculated CT global noise"
}
},
{
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"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "96913-9",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31752-1",
"display" : "Abdomen and Pelvis Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31753-9",
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}
},
{
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"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31754-7",
"display" : "Abdomen and Pelvis High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31755-4",
"display" : "Cardiac Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31756-2",
"display" : "Cardiac Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31758-8",
"display" : "Chest Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31759-6",
"display" : "Chest Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31761-2",
"display" : "Cardiac High Dose or Chest High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31762-0",
"display" : "Head Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
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"version" : "2.76",
"code" : "LA31763-8",
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}
},
{
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"valueCoding" : {
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"code" : "LA31764-6",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31765-3",
"display" : "Extremity"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31766-1",
"display" : "Neck or Cervical Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31767-9",
"display" : "Thoracic or Lumbar Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31768-7",
"display" : "Simultaneous Chest and Abdomen and Pelvis"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31851-1",
"display" : "Simultaneous Thoracic and Lumbar Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31769-5",
"display" : "Simultaneous Head and Neck Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31770-3",
"display" : "Simultaneous Head and Neck High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "LA31771-1",
"display" : "Full Body"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "103390000",
"display" : "Elective (qualifier value)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "8310-5",
"display" : "Body temperature"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "39156-5",
"display" : "Body mass index (BMI) [Ratio]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"version" : "2.76",
"code" : "97816-3",
"display" : "American society of anesthesiologists morbidity state"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"version" : "3.0.0",
"code" : "ER",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/20230901",
"code" : "271280005",
"display" : "Removal of endotracheal tube (procedure)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
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"code" : "21541000119102",
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}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
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"code" : "5751000175101",
"display" : "Patient bed assigned (finding)"
}
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-update-qi-core-2025",
"identifier" : [
{
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"system" : "http://example.org/fhir/cqi/ecqm/Library/Identifier",
"value" : "eCQM Update QI Core 2025"
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],
"version" : "1.0.0",
"name" : "ECQMUpdateQICore2025",
"title" : "eCQM Update QI Core 2025",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
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"code" : "asset-collection"
}
]
},
"date" : "2025-08-20T14:18:07-06:00",
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{
"telecom" : [
{
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}
]
}
],
"description" : "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" : "urn:iso:std:iso:3166",
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]
}
],
"purpose" : "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" : "2025-05-06",
"lastReviewDate" : "2025-05-06",
"relatedArtifact" : [
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},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS22FHIRPCSBPScreeningFollowUp|0.3.000"
},
{
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},
{
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"resource" : "https://madie.cms.gov/Measure/CMS71FHIRSTKAnticoagAFFlutter|0.3.002"
},
{
"type" : "composed-of",
"display" : "Measure Antithrombotic Therapy By End of Hospital Day 2FHIR, 0.7.002",
"resource" : "https://madie.cms.gov/Measure/CMS72FHIRSTKAntithromboticDay2|0.7.002"
},
{
"type" : "composed-of",
"display" : "Measure Discharged on Antithrombotic TherapyFHIR, 0.9.003",
"resource" : "https://madie.cms.gov/Measure/CMS104FHIRSTKDCAntithrombotic|0.9.003"
},
{
"type" : "composed-of",
"display" : "Measure Diabetes: Glycemic Status Assessment Greater Than 9%FHIR, 0.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS122FHIRDiabetesAssessGreaterThan9Percent|0.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Cervical Cancer ScreeningFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS124FHIRCervicalCancerScreening|0.4.000"
},
{
"type" : "composed-of",
"display" : "Measure Breast Cancer ScreeningFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS125FHIRBreastCancerScreening|0.4.000"
},
{
"type" : "composed-of",
"display" : "Measure Colorectal Cancer ScreeningFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS130FHIRColorectalCancerScreening|0.4.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS133FHIRCataracts2040BCVAwithin90Days|0.2.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS135FHIRHFACEIorARBorARNIforLVSD|0.4.000"
},
{
"type" : "composed-of",
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},
{
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"resource" : "https://madie.cms.gov/Measure/CMS143FHIRPOAGOpticNerveEvaluation|0.2.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS144FHIRHFBetaBlockerTherapyforLVSD|1.5.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS145FHIRCADBetaBlockerTherapyPriorMIorLVSD|0.4.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS149FHIRDementiaCognitiveAssessment|0.2.000"
},
{
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"resource" : "https://madie.cms.gov/Measure/CMS159FHIRDepressionRemissionatTwelveMonths|0.3.000"
},
{
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"resource" : "https://madie.cms.gov/Measure/CMS165FHIRControllingHighBloodPressure|0.5.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS190VTEProphylaxisICUFHIR|0.3.001"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS0334FHIRPCCesareanBirth|0.6.000"
},
{
"type" : "composed-of",
"display" : "Measure Safe Use of Opioids - Concurrent PrescribingFHIR, 0.3.007",
"resource" : "https://madie.cms.gov/Measure/CMS506FHIRSafeUseofOpioids|0.3.007"
},
{
"type" : "composed-of",
"display" : "Measure Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation TherapyFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS645FHIRBoneDensityProstateCancerAndrogenDeprivationTherapy|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder CancerFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS646FHIRIntravesicalBacillusCalmetteGuerinForBladderCancer|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic HyperplasiaFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS771FHIRUrinarySymptomScoreChangeBenignProstaticHyperplasia|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Hospital Harm - Severe HypoglycemiaFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS816FHIRHHHypo|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Hospital Harm - Opioid-Related Adverse EventsFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS819FHIRHHORAE|0.4.000"
},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS826FHIRHHPI|0.3.000"
},
{
"type" : "composed-of",
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},
{
"type" : "composed-of",
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"resource" : "https://madie.cms.gov/Measure/CMS871HHHyperFHIR|0.3.000"
},
{
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"resource" : "https://madie.cms.gov/Measure/CMS986FHIRMalnutritionScore|0.3.003"
},
{
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