# eCQM Update 2024 - Final Draft - Quality Measure Implementation Guide v2.0.0-ballot

## Library: eCQM Update 2024 - Final Draft (Experimental) 

 
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. 

* Metadata: Title
  * ?: eCQM Update 2024 - Final Draft
* Metadata: Version
  * ?: 1.0.0-draft
* Metadata: Identifier
  * ?: eCQM Update 2024
* Metadata: Identifier
  * ?: urn:oid:2.16.840.1.113883.4.642.40.61.28.26
* Metadata: Approval Date
  * ?: 2024-04-23
* Metadata: Last Review Date
  * ?: 2024-04-23
* Metadata: Status
  * ?: Draft
* Metadata: Experimental
  * ?: true
* Metadata: Jurisdiction
  * ?: 001 from[http://unstats.un.org/unsd/methods/m49/m49.htm](http://unstats.un.org/unsd/methods/m49/m49.htm)
* Metadata: Steward (Publisher)
  * ?: HL7 International / Clinical Quality Information
* Metadata: 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 quality measures.
* Metadata: 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.
* Metadata: Type
  * ?: asset-collection from[http://terminology.hl7.org/CodeSystem/library-type](http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html)
* Metadata: Component
  * ?: **Description**: EXM55 - Median Emergency Department Visit Duration, 5.0.0**Resource**:[EXM55 - Median Emergency Department Visit Durationversion: null5.0.0)](Measure-EXM55-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0
* Metadata: Component
  * ?: **Description**: EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000**Resource**:[EXM108 - Venous Thromboembolism Prophylaxisversion: null8.2.000)](Measure-EXM108-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000
* Metadata: Component
  * ?: **Description**: EXM124 - Cervical Cancer Screening, 9.0.000**Resource**:[EXM124 - Cervical Cancer Screeningversion: null9.0.000)](Measure-EXM124-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000
* Metadata: Component
  * ?: **Description**: EXM125 - Breast Cancer Screening, 8.0.000**Resource**:[EXM125 - Breast Cancer Screeningversion: null8.0.000)](Measure-EXM125-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000
* Metadata: Component
  * ?: **Description**: EXM130 - Colorectal Cancer Screening Measure, 8.0.000**Resource**:[EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000)](Measure-EXM130-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000
* Metadata: Component
  * ?: **Description**: EXM146 - Appropriate Testing for Children with Pharyngitis, 4.0.0**Resource**:[EXM146 - Appropriate Testing for Children with Pharyngitisversion: null4.0.0)](Measure-EXM146-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/EXM146-FHIR|4.0.0
* Metadata:  Parameters
* Metadata: Parameter
  * ?: None
* Metadata:  Expansion Parameters
* Metadata: 
  * ?: 
| | |
| :--- | :--- |
| **Name** | **Value** |
| system-version | `http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20230901` |
| system-version | `http://loinc.org|2.76` |
| system-version | [ActCodeversion: null9.0.0)](http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html) |
| system-version | [AdministrativeGenderversion: null3.0.0)](http://terminology.hl7.org/6.5.0/CodeSystem-v3-AdministrativeGender.html) |
| system-version | [CDT-2 Codesversion: null2.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-CD2.html) |
| system-version | [Current Procedural Terminology (CPT®)version: null3.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-CPT.html) |
| system-version | [Vaccine Administered Code Set (CVX)version: null4.0.0)](http://terminology.hl7.org/5.5.0/CodeSystem-CVX.html) |
| system-version | [HCFA Procedure Codes (HCPCS)version: null3.0.0)](http://terminology.hl7.org/6.5.0/CodeSystem-HCPCS-all-codes.html) |
| system-version | [Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codesversion: null1.0.2)](http://terminology.hl7.org/6.5.0/CodeSystem-hcpcs-Level-II.html) |
| system-version | [International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)version: null2.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-icd10CM.html) |
| system-version | [ICD-10 Procedure Codesversion: null2.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-icd10PCS.html) |
| system-version | [ICD-9CMversion: null2.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-icd9cm.html) |
| system-version | [nubc-PresentOnAdmission-csversion: null2.2.0)](http://terminology.hl7.org/6.5.0/CodeSystem-v2-0895.html) |
| system-version | [RxNormversion: null3.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-v3-rxNorm.html) |
| system-version | [Source of Payment Typologyversion: null1.0.1)](http://terminology.hl7.org/6.5.0/CodeSystem-SOPT.html) |

* Metadata: Generated using version 0.5.4 of the sample-content-ig Liquid templates



## Resource Content

```json
{
  "resourceType" : "Library",
  "id" : "Manifest-Final-Draft",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"]
  },
  "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"
    }]
  }],
  "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/uv/cqm/Library/Manifest-Final-Draft",
  "identifier" : [{
    "use" : "official",
    "system" : "http://example.org/fhir/cqi/ecqm/Library/Identifier",
    "value" : "eCQM Update 2024"
  },
  {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.28.26"
  }],
  "version" : "1.0.0-draft",
  "name" : "ECQMUpdate2024FinalDraft",
  "title" : "eCQM Update 2024 - Final Draft",
  "status" : "draft",
  "experimental" : true,
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/library-type",
      "code" : "asset-collection"
    }]
  },
  "date" : "2024-04-23",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "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 quality measures.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "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" : "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/uv/cqm/Measure/EXM55-FHIR|5.0.0"
  },
  {
    "type" : "composed-of",
    "display" : "EXM108 - Venous Thromboembolism Prophylaxis, 8.2.000",
    "resource" : "http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR|8.2.000"
  },
  {
    "type" : "composed-of",
    "display" : "EXM124 - Cervical Cancer Screening, 9.0.000",
    "resource" : "http://hl7.org/fhir/uv/cqm/Measure/EXM124-FHIR|9.0.000"
  },
  {
    "type" : "composed-of",
    "display" : "EXM125 - Breast Cancer Screening, 8.0.000",
    "resource" : "http://hl7.org/fhir/uv/cqm/Measure/EXM125-FHIR|8.0.000"
  },
  {
    "type" : "composed-of",
    "display" : "EXM130 - Colorectal Cancer Screening Measure, 8.0.000",
    "resource" : "http://hl7.org/fhir/uv/cqm/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/uv/cqm/Measure/EXM146-FHIR|4.0.0"
  }]
}

```
