Quality Measure Implementation Guide
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: eCQM Update 2024 - Final Draft - TTL Representation

Draft as of 2024-04-23

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Manifest-Final-Draft"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">eCQM Update 2024 - Final Draft</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">Manifest-Final-Draft</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0-draft</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><code>http://hl7.org/fhir/us/cqfmeasures/Library/Manifest-Final-Draft</code></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>eCQM Update 2024</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\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><a href=\"http://hl7.org/fhir/R4/codesystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>asset-collection</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;\">2024-04-23</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / Clinical Quality Information</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><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 quality measures.</p>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">US</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Purpose: </b></th>\n            <td style=\"padding-left: 4px;\"><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>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Approval Date: </b></th>\n            <td style=\"padding-left: 4px;\">2024-04-23</td>\n        </tr>\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                \n                <p><b>Components</b></p>\n                <ul>\n                  \n                    <li><a href=\"Measure-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Durationversion: null5.0.0)</a></li>\n                  \n                    <li><a href=\"Measure-EXM108-FHIR.html\">EXM108 - Venous Thromboembolism Prophylaxisversion: null8.2.000)</a></li>\n                  \n                    <li><a href=\"Measure-EXM124-FHIR.html\">EXM124 - Cervical Cancer Screeningversion: null9.0.000)</a></li>\n                  \n                    <li><a href=\"Measure-EXM125-FHIR.html\">EXM125 - Breast Cancer Screeningversion: null8.0.000)</a></li>\n                  \n                    <li><a href=\"Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000)</a></li>\n                  \n                    <li><a href=\"Measure-EXM146-FHIR.html\">EXM146 - Appropriate Testing for Children with Pharyngitisversion: null4.0.0)</a></li>\n                  \n                </ul>\n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n\n        \n    </table>\n</div>\n</div>"
  ] ; # 
  fhir:contained ( [
a fhir:Parameters ;
fhir:id [ fhir:v "exp-params" ] ;
    ( fhir:parameter [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901"^^xsd:anyURI ;
fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://loinc.org|2.76"^^xsd:anyURI ;
fhir:link <http://loinc.org|2.76>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/CD2|2.0.1"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/CD2|2.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://www.ama-assn.org/go/cpt|3.0.1"^^xsd:anyURI ;
fhir:link <http://www.ama-assn.org/go/cpt|3.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/sid/cvx|4.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/cvx|4.0.0>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/sid/icd-10-cm|2.0.1"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/sid/icd-10-cm|2.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://www.cms.gov/Medicare/Coding/ICD10|2.0.1"^^xsd:anyURI ;
fhir:link <http://www.cms.gov/Medicare/Coding/ICD10|2.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1"^^xsd:anyURI ;
fhir:link <http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1>       ]     ] [
fhir:name [ fhir:v "system-version" ] ;
fhir:value [
fhir:v "https://nahdo.org/sopt|1.0.1"^^xsd:anyURI ;
fhir:link <https://nahdo.org/sopt|1.0.1>       ]     ] )
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#exp-params" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cqi" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/Library/Manifest-Final-Draft"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Library/Identifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "eCQM Update 2024" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0-draft"] ; # 
  fhir:name [ fhir:v "ECQMUpdate2024FinalDraft"] ; # 
  fhir:title [ fhir:v "eCQM Update 2024 - Final Draft"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "asset-collection" ]     ] )
  ] ; # 
  fhir:date [ fhir:v "2024-04-23"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "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 quality measures."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "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."] ; # 
  fhir:approvalDate [ fhir:v "2024-04-23"^^xsd:date] ; # 
  fhir:lastReviewDate [ fhir:v "2024-04-23"^^xsd:date] ; # 
  fhir:relatedArtifact ( [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM55 - Median Emergency Department Visit Duration, 5.0.0" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR|5.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR|5.0.0>     ]
  ] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM108-FHIR|8.2.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM108-FHIR|8.2.000>     ]
  ] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM124 - Cervical Cancer Screening, 9.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM124-FHIR|9.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM124-FHIR|9.0.000>     ]
  ] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM125 - Breast Cancer Screening, 8.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000>     ]
  ] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM130 - Colorectal Cancer Screening Measure, 8.0.000" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000>     ]
  ] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM146-FHIR|4.0.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/EXM146-FHIR|4.0.0>     ]
  ] ) . #