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 - Release - JSON Representation

Active as of 2024-09-23

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{
  "resourceType" : "Library",
  "id" : "Manifest-Release",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"
    ]
  },
  "text" : {
    "status" : "extensions",
    "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 - Release</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">Manifest-Release</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</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-Release</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\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;\">2024-09-23</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 release 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>\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 release status, as it would look as part of the final publication an eCQM Annual Update cycle, approved on April 23rd, 2024, and published on May 2nd, 2024. The versions of code systems and value sets used by the measures is specified in the dependency references to provide stability for value set expansion for any use of the published content. 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                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><a href=\"Library-Common.html\">Common Libraryversion: null2.0.0)</a></li>\n                  \n                    <li><a href=\"Library-SupplementalDataElements.html\">Supplemental Data Elements Libraryversion: null2.0.0)</a></li>\n                  \n                    <li><a href=\"Library-TJCOverall.html\">TJC Overall Libraryversion: null4.0.000)</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a></li>\n                  \n                    <li><a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62|20210409</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52|20220219</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424|20210220</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247|20210220</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45|20210220</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143|20210611</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292|20210611</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87|20210611</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308|20210220</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309|20210611</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209|20210220</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207|20210611</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118</code></li>\n                  \n                </ul>\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>"
  },
  "contained" : [
    {
      "resourceType" : "Parameters",
      "id" : "exp-params",
      "parameter" : [
        {
          "name" : "system-version",
          "valueCanonical" : "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://loinc.org|2.76"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/CD2|2.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.ama-assn.org/go/cpt|3.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://hl7.org/fhir/sid/cvx|4.0.0"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/HCPCS-all-codes|3.0.0"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets|1.0.2"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://hl7.org/fhir/sid/icd-10-cm|2.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.cms.gov/Medicare/Coding/ICD10|2.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/icd9cm|2.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://terminology.hl7.org/CodeSystem/v2-0895|2.2.0"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "http://www.nlm.nih.gov/research/umls/rxnorm|3.0.1"
        },
        {
          "name" : "system-version",
          "valueCanonical" : "https://nahdo.org/sopt|1.0.1"
        }
      ]
    }
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  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters",
      "valueReference" : {
        "reference" : "#exp-params"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    }
  ],
  "url" : "http://hl7.org/fhir/us/cqfmeasures/Library/Manifest-Release",
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://example.org/fhir/cqi/ecqm/Library/Identifier",
      "value" : "eCQM Update 2024"
    }
  ],
  "version" : "1.0.0",
  "name" : "ECQMUpdate2024Release",
  "title" : "eCQM Update 2024 - Release",
  "status" : "active",
  "experimental" : true,
  "type" : {
    "coding" : [
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        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "asset-collection"
      }
    ]
  },
  "date" : "2024-09-23",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
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      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
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  "description" : "This library is an example release 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" : [
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          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "purpose" : "This library is defined to illustrate a Version Manifest in release status, as it would look as part of the final publication an eCQM Annual Update cycle, approved on April 23rd, 2024, and published on May 2nd, 2024. The versions of code systems and value sets used by the measures is specified in the dependency references to provide stability for value set expansion for any use of the published content. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release.",
  "approvalDate" : "2024-04-23",
  "lastReviewDate" : "2024-04-23",
  "relatedArtifact" : [
    {
      "type" : "composed-of",
      "display" : "EXM55 - Median Emergency Department Visit Duration, 5.0.0",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR|5.0.0"
    },
    {
      "type" : "composed-of",
      "display" : "EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM108-FHIR|8.2.000"
    },
    {
      "type" : "composed-of",
      "display" : "EXM124 - Cervical Cancer Screening, 9.0.000",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM124-FHIR|9.0.000"
    },
    {
      "type" : "composed-of",
      "display" : "EXM125 - Breast Cancer Screening, 8.0.000",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000"
    },
    {
      "type" : "composed-of",
      "display" : "EXM130 - Colorectal Cancer Screening Measure, 8.0.000",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000"
    },
    {
      "type" : "composed-of",
      "display" : "EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM146-FHIR|4.0.0"
    },
    {
      "type" : "depends-on",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/Common|2.0.000"
    },
    {
      "type" : "depends-on",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.0"
    },
    {
      "type" : "depends-on",
      "resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/TJCOverall|4.0.000"
    },
    {
      "type" : "depends-on",
      "resource" : "http://terminology.hl7.org/CodeSystem/diagnosis-role"
    },
    {
      "type" : "depends-on",
      "resource" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category"
    },
    {
      "type" : "depends-on",
      "resource" : "http://hl7.org/fhir/administrative-gender"
    },
    {
      "type" : "depends-on",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62|20210409"
    },
    {
      "type" : "depends-on",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212"
    },
    {
      "type" : "depends-on",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117"
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    {
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      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52|20220219"
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      "type" : "depends-on",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424|20210220"
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}