Quality Measure Implementation Guide (STU5)
5.0.0-ballot - ballot United States of America flag

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: Quality Programs Codes - JSON Representation

Active as of 2023-12-15

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{
  "resourceType" : "CodeSystem",
  "id" : "quality-programs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">mips<a name=\"quality-programs-mips\"> </a></td><td>MIPS</td><td>Merit-Based Incentive Payment System (MIPS)</td></tr><tr><td style=\"white-space:nowrap\">ep-ec<a name=\"quality-programs-ep-ec\"> </a></td><td>EP/EC</td><td>CMS Promoting Interoperability Eligible Professionals/Eligible Clinicians.</td></tr><tr><td style=\"white-space:nowrap\">eh-cah<a name=\"quality-programs-eh-cah\"> </a></td><td>EH/CAH</td><td>CMS Promoting Interoperability Eligible Hospitals or Critical Access Hospitals.</td></tr><tr><td style=\"white-space:nowrap\">qpp<a name=\"quality-programs-qpp\"> </a></td><td>QPP</td><td>Quality Payment Program.</td></tr><tr><td style=\"white-space:nowrap\">aapm<a name=\"quality-programs-aapm\"> </a></td><td>AAPM</td><td>Advanced Alternative Payment Models.</td></tr><tr><td style=\"white-space:nowrap\">cpcp<a name=\"quality-programs-cpcp\"> </a></td><td>CPC+</td><td>Comprehensive Primary Care Plus (CPC+)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    }
  ],
  "url" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
  "version" : "5.0.0-ballot",
  "name" : "QualityPrograms",
  "title" : "Quality Programs Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-12-15T17:46:42+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "The following defines the programs associated with a measure. Identified quality programs are neither exhaustive nor prescriptive. Specific quality program codes are not in scope for this IG.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs",
  "content" : "complete",
  "concept" : [
    {
      "code" : "mips",
      "display" : "MIPS",
      "definition" : "Merit-Based Incentive Payment System (MIPS)"
    },
    {
      "code" : "ep-ec",
      "display" : "EP/EC",
      "definition" : "CMS Promoting Interoperability Eligible Professionals/Eligible Clinicians."
    },
    {
      "code" : "eh-cah",
      "display" : "EH/CAH",
      "definition" : "CMS Promoting Interoperability Eligible Hospitals or Critical Access Hospitals."
    },
    {
      "code" : "qpp",
      "display" : "QPP",
      "definition" : "Quality Payment Program."
    },
    {
      "code" : "aapm",
      "display" : "AAPM",
      "definition" : "Advanced Alternative Payment Models."
    },
    {
      "code" : "cpcp",
      "display" : "CPC+",
      "definition" : "Comprehensive Primary Care Plus (CPC+)"
    }
  ]
}