HL7 · dand9959 · Nov 6, 2024 · Nov 19, 2024 · Jan 28, 2025 · Jan 28, 2025
diff --git a/input/data/package_list.yml b/input/data/package_list.yml
@@ -66,4 +66,5 @@ list:
       1. **Applied**: Replaced 'program' parameter with 'manifest' parameter in care gaps  and measure/evaluate operations ([FHIR-46371](https://jira.hl7.org/browse/FHIR-46371))
       1. **Applied**: Replaced 'program' parameter with 'manifest' parameter in care gaps  and measure/evaluate operations ([FHIR-46371](https://jira.hl7.org/browse/FHIR-46371))
       1. **Applied**: Added IN parameters to defined Operations. Added new deqm.collect-data Operation.  Renamed 'deqm.evaluate-measure' Operation to 'evaluate'. ([FHIR-40032](https://jira.hl7.org/browse/FHIR-40032))
-      1. **Applied**: Added IN parameters to evaluate Operation ([FHIR-46287](https://jira.hl7.org/browse/FHIR-46287))
+      1. **Applied**: Added IN parameters to evaluate Operation ([FHIR-46287](https://jira.hl7.org/browse/FHIR-46287))
+      1. **Applied**: Removed references to (previously removed) Quality Program value set. ([FHIR-48462](https://jira.hl7.org/browse/FHIR-48462)) ([Applied here](StructureDefinition-extension-reportingProgram.html), [here](OperationDefinition-evaluate.html), [here](MeasureReport-indv-measurereport02.html), [here](Measure-measure-exm108-example.html), [here](Measure-measure-pi-example.html), [here](col.html), and [here](OperationDefinition-care-gaps.html))
diff --git a/input/examples/Measure-measure-exm108-example.json b/input/examples/Measure-measure-exm108-example.json
@@ -28,19 +28,20 @@
     } ]
   } ],
   "description": "This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission",
-  "useContext": [ {
-    "code": {
-      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
-      "code": "program"
+  "useContext" : [{
+    "code" : {
+      "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
+      "code" : "venue",
+      "display": "Venue"
     },
-    "valueCodeableConcept": {
-      "coding": [ {
-        "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs-example",
-        "code": "eh-cah",
-        "display": "EH/CAH"
-      } ]
+    "valueCodeableConcept" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
+        "code" : "ec",
+        "display": "EC"
+      }]
     }
-  } ],
+  }],
   "jurisdiction": [ {
     "coding": [ {
       "system": "urn:iso:std:iso:3166",

diff --git a/input/examples/Measure-pi-example.json b/input/examples/Measure-pi-example.json
@@ -46,14 +46,15 @@
   "useContext" : [{
     "code" : {
       "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
-      "code" : "program"
+      "code" : "venue",
+      "display": "Venue"
     },
     "valueCodeableConcept" : {
       "coding" : [{
-        "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs-example",
-        "code" : "ep-ec"
-      }],
-      "text" : "eligible-provider"
+        "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
+        "code" : "ec",
+        "display": "EC"
+      }]
     }
   }],
   "jurisdiction" : [{

diff --git a/input/examples/MeasureReport-indv-measurereport02.json b/input/examples/MeasureReport-indv-measurereport02.json
@@ -21,15 +21,8 @@
         },
         {
             "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram",
-            "valueCodeableConcept": {
-                "coding": [
-                    {
-                        "code": "ep-ec",
-                        "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs-example"
-                    }
-                ]
-            }
-        },
+            "valueCanonical": "http://hl7.org/fhir/us/cqfmeasures/Library/Quality-Program-Example"
+         },
         {
             "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
             "valueIdentifier": {

diff --git a/input/includes/care-gaps-operation-example.md b/input/includes/care-gaps-operation-example.md
@@ -63,13 +63,3 @@ GET [base]/Measure/$care-gaps?measureIdentifier=http://hl7.org/fhir/cqi/ecqm/Mea
 GET [base]/Measure/$care-gaps?measureUrl=http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130|7.3.000&periodStart=2014-01&periodEnd=2014-03&status=open-gap&&organization=Organization/124&practitioner=Practitioner/124
 ~~~
 
-Request: 
-
-* Request the first example with a program of eligible-provider. 
-
-* Request the first example with a program of the code "mips" in the valueset "quality-programs".
-
-~~~
-GET [base]/Measure/$care-gaps?measureId=EXM130-7.3.000&periodStart=2014-01&periodEnd=2014-03&status=open-gap&subject=Patient/124&program=eligible-provider
-GET [base]/Measure/$care-gaps?measureId=EXM130-7.3.000&periodStart=2014-01&periodEnd=2014-03&status=open-gap&subject=Patient/124&program=http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs|mips
-~~~
diff --git a/input/includes/col-requirements-example.md b/input/includes/col-requirements-example.md
@@ -93,9 +93,9 @@ HTTP/1.1 200 OK
       "valueCodeableConcept": {
         "coding": [
           {
-            "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
-            "code": "ep-ec",
-            "display": "EP/EC"
+            "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
+            "code": "ec",
+            "display": "EC"
           }
         ]
       }

diff --git a/input/pagecontent/change-notes.md b/input/pagecontent/change-notes.md
@@ -4,6 +4,8 @@ The Data Exchange For Quality Measures Implementation Guide was developed under
 ### Changes and Updates for STU5 Publication (STU5).
 
 1. Applied the following trackers:
+
+   - Removed references to (previously removed) Quality Program value set. ([FHIR-48462](https://jira.hl7.org/browse/FHIR-48462)) ([Applied here](StructureDefinition-extension-reportingProgram.html), [here](OperationDefinition-evaluate.html), [here](MeasureReport-indv-measurereport02.html), [here](Measure-measure-exm108-example.html), [here](Measure-measure-pi-example.html), [here](col.html), and [here](OperationDefinition-care-gaps.html))
    - DEQM STU5 Final Publication: Build QA #1 (individual measure report errors)([CQF-2428](https://icf.atlassian.net/browse/CQF-2428))([Applied here](StructureDefinition-indv-measurereport-deqm.html))
 
 ### Changes and Updates for STU5 Ballot for 2024Sept Version of the DEQM IG.

diff --git a/input/resources/OperationDefinition-evaluate.xml b/input/resources/OperationDefinition-evaluate.xml
@@ -52,18 +52,6 @@
         <documentation value="Specifies an asset-collection library that provides dependency version resolution and expansion rules for the operation. See the description of manifest in the Canonical Resource Management Infrastructure IG for a complete description of how manifest values are used to provide defaults for dependency version resolution and expansion parameters. Parameters specified directly in the operation override behaviors specified by the manifest parameter. In general, if this parameter is supplied, it is expected to be used in nested operation calls. For example, in evaluating a measure, if the expansion of a value set is required, this parameter SHALL be supplied to that expansion."/>
         <type value="canonical"/>
     </parameter>
-    <parameter>
-      <name value="programCode"/> 
-      <use value="in"/> 
-      <min value="0"/> 
-      <max value="1"/> 
-      <documentation value="The quality program being reported via code from the [Reporting Program value set](http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example) indicating which quality program is being reported."/> 
-      <type value="CodeableConcept"/>
-      <binding>
-        <strength value="extensible"/>
-        <valueSet value="http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example"/>
-      </binding> 
-    </parameter>
     <parameter>
         <name value="measureId"/>
         <use value="in"/>
@@ -106,6 +94,23 @@
         <documentation value="The measure to be evaluated is provided as a Measure resource."/>
         <type value="Measure"/>
     </parameter>
+    <parameter>
+        <name value="programIdentifier"/>
+        <use value="in"/>
+        <min value="0"/>
+        <max value="1"/>
+        <documentation value="The business identifier of the reporting program, for which measures are being evaluated. For example, downstream IGs could specify program identifiers. Mutually exclusive use with programUrl - it is an error to pass in both programIdentifier and programUrl parameters."/>
+        <type value="string"/>
+        <searchType value="token"/>
+    </parameter>
+    <parameter>
+        <name value="programUrl"/>
+        <use value="in"/>
+        <min value="0"/>
+        <max value="1"/>
+        <documentation value="Mutually exclusive use with programUrl - it is an error to pass in both programIdentifier and programUrl parameters."/>
+        <type value="canonical"/>
+    </parameter>
     <parameter>
         <name value="reportType"/>
         <use value="in"/>

diff --git a/input/resources/StructureDefinition-extension-reportingProgram.json b/input/resources/StructureDefinition-extension-reportingProgram.json
@@ -8,7 +8,7 @@
   "experimental": false,
   "date": "2022-11-21",
   "publisher": "Da Vinci Project",
-  "description": "Extension that supports the reporting program as a reference to a Library conforming to the Quality Program profile, as well as a CodeableConcept bound to the Quality Program value set.",
+  "description": "Extension that supports the reporting program as a reference to the CRMI Manifest Library, as well as an identifier of the reporting program, for which measures are being evaluated",
   "fhirVersion": "4.0.1",
   "kind": "complex-type",
   "abstract": false,
@@ -45,17 +45,14 @@
         "path" : "Extension.value[x]",
         "type" : [
           {
-            "code" : "CodeableConcept"
+            "code" : "Identifier"
           },
           {
             "code" : "canonical",
-            "targetProfile": ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-manifest-cqfm"]
+            "targetProfile": ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"]
           }
-        ],
-        "binding": {
-          "strength": "example",
-          "valueSet": "http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example"
-        }
+
+        ]
       }
     ]
   }