ecqm-content-r4-2021

eCQM Draft Measure Content (2021 AU Content, using FHIR R4 v4.0.1)

This repository contains the draft measure artifacts for FHIR based eCQMs. These specifications are based on the 2021 AU versions of CMS program measures.

Commits to this repository will automatically trigger a build of the continuous integration build, available here:

https://build.fhir.org/ig/cqframework/ecqm-content-r4-2021

Content Index

The following table provides an index to the currently available library content in this implementation guide:

Shared Libraries

Library	Version	Status
AdultOutpatientEncountersFHIR4	2.2.000	Active
AdvancedIllnessandFrailtyExclusionECQMFHIR4	5.17.000	Active
CumulativeMedicationDurationFHIR4	1.0.000	Active
FHIRHelpers	4.0.001	Active
HospiceFHIR4	2.3.000	Active
MATGlobalCommonFunctionsFHIR4	6.1.000	Active
PalliativeCareFHIR	0.6.000	Active
SupplementalDataElementsFHIR4	2.0.000	Active
TJCOverallFHIR	1.8.000	Active
VTEFHIR4	4.8.000	Active

Measure Libraries

Library	Version	Status
BCSEHEDISMY2022	1.0.0	Draft
BreastCancerScreeningsFHIR	0.0.009	Draft
CervicalCancerScreeningFHIR	0.0.005	Draft
ColorectalCancerScreeningsFHIR	0.0.003	Draft
DiabetesHemoglobinA1cHbA1cPoorControl9FHIR	0.0.015	Draft
DischargedonAntithromboticTherapyFHIR	0.0.010	Draft
FHIR347	0.1.021	Draft
HospitalHarmHyperglycemiainHospitalizedPatientsFHIR	0.0.006	Draft
HospitalHarmSevereHypoglycemiaFHIR	0.0.012	Draft
HybridHWMFHIR	0.102.005	Draft
HybridHWRFHIR	1.3.005	Draft
IntensiveCareUnitVenousThromboembolismProphylaxisFHIR	(input/cql/IntensiveCareUnitVenousThromboembolismProphylaxisFHIR.cql)	0.0.012	Draft
PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR	0.0.008	Draft
SafeUseofOpioidsConcurrentPrescribingFHIR	0.0.012	Draft

Measures

Measure	Description
BCS-E	Breast Cancer Screening (HEDIS BCS-E MY2022)
CMS74FHIR	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists (CMS74v11)
CMS104FHIR	Discharged on Antithrombotic Therapy (CMS104v10)
CMS108FHIR	Intensive Care Unit Venous Thromboembolism Prophylaxis (CMS108v10)
CMS122FHIR	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) (CMS122v10)
CMS124FHIR	Cervical Cancer Screening (CMS124v10)
CMS125FHIR	Breast Cancer Screening (CMS125v10)
CMS130FHIR	Colorectal Cancer Screening (CMS130v10)
CMS142FHIR	Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (CMS142v10)
CMS347FHIR	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CMS347v5)
CMS506FHIR	Safe Use of Opioids - Concurrent Prescribing (CMS506v4)
CMS529FHIR	Admissions and Readmissions to Hospitals (CMS529v2)
CMS816FHIR	Hospital Harm - Severe Hypoglycemia (CMS816v1)
CMS844FHIR	Risk Adjusted Mortality (CMS844v2)
CMS871FHIR	Hospital Harm - Severe Hyperglycemia (CMS871v1)

Repository Structure

It is setup like any HL7 FHIR IG project but also includes the CQL files and test data which means the file structure will be as follows:

   |-- _genonce.bat
   |-- _genonce.sh
   |-- _refresh.bat
   |-- _refresh.sh
   |-- _updatePublisher.bat
   |-- _updatePublisher.sh
   |-- _updateCQFTooling.bat
   |-- _updateCQFTooling.sh
   |-- ig.ini
   |-- bundles
       |-- mat
           |--<mat export bundles>
       |-- measure
           |--EXM124
   |-- input
       |-- ecqm-content-r4-2021.xml
       |-- cql
           |-- EXM124.cql
       |-- resources
           |-- library
               |-- EXM124.json
           |-- measure
               |-- EXM124.json
       |-- tests
           |-- measure
               |-- EXM124
       |-- vocabulary
           |-- valueset

Refresh IG Processing

The CQF Tooling provides support for refreshing measure and library resources based on the content of the CQL libraries, as well as packaging the measures as artifacts that include dependencies and test cases.

To run this tooling, make sure it is available locally using the _updateCQFTooling script, then run the _refresh script. This script should be run whenever CQL content changes, and prior to the publishing process.

Extracting MAT Packages

The CQF Tooling provides support for extracting a MAT exported package into the directories of this repository so that the measure is included in the published implementation guide. To do this, place the MAT export files (unzipped) in a directory in the bundles\mat directory, and then run the following tooling command:

[tooling-jar] -ExtractMatBundle bundles\mat\[bundle-directory]\[bundle-file]

For example:

input-cache\tooling-1.3.1-SNAPSHOT-jar-with-dependencies.jar -ExtractMATBundle bundles\mat\CLONE124_v6_03-Artifacts\measure-json-bundle.json

Then run the _refresh command to refresh the implementation guide content with the new content, and then run _genonce to publish the implementation guide.

cqframework / ecqm-content-r4-2021

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