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

Library: Library

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
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
SDE Sex Out 0..1 Coding
Numerator Out 0..* Encounter
Stratification 4 Out 0..* Encounter
Stratification 3 Out 0..* Encounter
Stratification 2 Out 0..* Encounter
Stratification 1 Out 0..* Encounter
Denominator Out 0..* Encounter
SDE Payer Out 0..* Resource
Initial Population Out 0..* Encounter
SDE Ethnicity Out 0..1 Resource
SDE Race Out 0..1 Resource
Generated using version 0.5.4 of the sample-content-ig Liquid templates