Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build
Draft dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2025/ and changes regularly. See the Directory of published versions
| Official URL: https://madie.cms.gov/Measure/CMS1264FHIRECATREHQR#effective-data-requirements | Version: 1.1.000 | |||
| Active | Responsible: Centers for Medicare & Medicaid Services (CMS) | Computable Name: EffectiveDataRequirements | ||
| Metadata | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Type | module-definition from http://terminology.hl7.org/CodeSystem/library-type | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: USQualityCore model information
Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: USCore model information
Resource: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived Canonical URL: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: FHIR model information
Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library SDE
Resource: SupplementalDataElements version: 6.1.000 Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library USCommon
Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library CQMCommon
Resource: CQMCommon version: 5.1.000 Canonical URL: https://madie.cms.gov/Library/CQMCommon|5.1.000 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system RoleCode
Resource: RoleCode Canonical URL: http://terminology.hl7.org/CodeSystem/v3-RoleCode |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system Diagnosis Type
Resource: Example Diagnosis Type Codes Canonical URL: http://terminology.hl7.org/CodeSystem/ex-diagnosistype |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Emergency Department Evaluation and Management Visit
Resource: Emergency Department Evaluation and Management Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1010 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Triage
Resource: Triage Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.279 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Emergency Department Location
Resource: Emergency Department Location Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.284 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Emergency Department Treatment Location
Resource: Emergency Department Treatment Location Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.278 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Decision to Transfer
Resource: Decision to Transfer Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.286 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Observation Services
Resource: Observation Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Mental Health Diagnosis without Substance Use Disorders
Resource: Mental Health Diagnosis without Substance Use Disorders Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.285 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Payer Type
Resource: Payer Type Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Patient
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient
Must Support Elements: ombCategory, detailed, text |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code Code Filter(s): Path: type ValueSet: Triage |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code Code Filter(s): Path: type ValueSet: Emergency Department Evaluation and Management Visit Path: status Code(s): [not stated]: finished (finished) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: period, location, location.type, hospitalization, hospitalization.dischargeDisposition, type, diagnosis, diagnosis.code |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code Code Filter(s): Path: type ValueSet: Observation Services Path: status Code(s): [not stated]: finished (finished) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Resource
Profile(s): Resource Must Support Elements: id |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Location
Profile(s): Location |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: ServiceRequest
Profile(s): ServiceRequest Must Support Elements: code, authoredOn, intent, status Code Filter(s): Path: code ValueSet: Decision to Transfer Path: intent Code(s): [not stated]: order (order) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Claim
Profile(s): Claim Must Support Elements: status, use, item Code Filter(s): Path: status Code(s): [not stated]: active (active) Path: use Code(s): [not stated]: claim (claim) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Coverage
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Parameters | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Generated using version 0.5.4 of the sample-content-ig Liquid templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||