cqframework / ecqm-content-r4

eCQM Measure Content

ecqm-content-r4

eCQM Measure Content (FHIR R4 v4.0.1)

This repository contains measure artifacts for FHIR based eCQMs published in May of 2020 for the 2021 reporting year. These measures and shared libraries are translated from the QDM-based versions of eCQMs published in May 2020 for the 2021 reporting year, and have specific versions, especially for the shared libraries, appropriate to the content for that publication update. For current translation efforts focused on the 2021 publication and the 2022 reporting year, see the eCQM Content R4 2021 repository.

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

Content Index

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

Shared Libraries

Library	Version	Status
AdultOutpatientEncountersFHIR4	2.0.000	Active
AdvancedIllnessandFrailtyExclusionECQMFHIR4	5.12.000	Active
FHIRHelpers	4.0.001	Active
HospiceFHIR4	2.0.000	Active
MATGlobalCommonFunctionsFHIR4	5.0.000	Active
SupplementalDataElementsFHIR4	2.0.000	Active
TJCOverallFHIR	1.1.000	Active

Measure Libraries

Library	Version	Status
BreastCancerScreeningFHIR	2.0.003	Draft
CMS111	0.0.013	Draft
CervicalCancerScreeningFHIR	0.0.001	Draft
ChlamydiaScreeningForWomenFHIR	0.0.001	Draft
ColorectalCancerScreeningsFHIR	0.0.001	Draft
DiabetesHemoglobinA1cHbA1cPoorControl9FHIR	0.0.001	Draft
DischargedonAntithromboticTherapyFHIR	1.0.001	Draft
EXM506	0.0.002	Draft
FHIR347	0.1.009	Draft
HybridHWRFHIR	1.2.002	Draft
PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR	0.0.002	Draft

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
           |--EXM124bundle files
       |-- measure
           |--EXM124
   |-- input
       |-- ecqm-content-r4.xml
       |-- cql
           |-- EXM124.cql
       |-- pagecontent
       |-- resources
           |-- library
               |-- EXM124.json
           |-- measure
               |-- EXM124.json
       |-- tests
           |-- measure
               |-- EXM124
       |-- vocabulary
           |-- valueset

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

Refresh IG Processing

The CQF Tooling provides "refresh" tooling that performs the following functions:

• Translates and validates all CQL source files
• Packages CQL and ELM content in the corresponding FHIR resources
• Refreshes generated content for each knowledge artifact (Library, Measure, PlanDefinition, ActivityDefinition) including parameters, dependencies, and effective data requirements

Then run the _refresh command to refresh the implementation guide content with the new content, and then run _genonce to run the publication tooling on the implementation guide (the same process that the continuous integration build uses to publish the implementation guide when commits are made to this repository).

ecqm-content-r4's Issues

test

Measure EXM506 missing 3 valuesaets

Currently Measure EXM506 is missing three valuesets that prevent it from bundling:
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.162 MISSING
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1004.20 MISSING
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1125.2 MISSING

EXM130 patient data issue

ERROR: if a date has a time, it must have a timezone. Location: Parameters.parameter[0].resource.entry[4].resource.period.start (line 346, col 46).
ERROR: if a date has a time, it must have a timezone. Location: Parameters.parameter[0].resource.entry[4].resource.period.end (line 348, col 12).

Need both XML and JSON ELM in Library after refresh

If there is not a cql-options.json file, default options are used, which appears to only generate ELM XML, not ELM JSON.
Provide a cql-options.json file that contains options for generating both XML and JSON ELM when refresh is run.