Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build
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/CMS139FHIRFallRiskScreening#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: National Committee for Quality Assurance | 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 Status
Resource: Status version: 2.1.000 Canonical URL: https://madie.cms.gov/Library/Status|2.1.000 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Library Hospice
Resource: Hospice version: 7.1.000 Canonical URL: https://madie.cms.gov/Library/Hospice|7.1.000 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Falls Screening
Resource: Falls Screening Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1028 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Office Visit
Resource: Office Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Annual Wellness Visit
Resource: Annual Wellness Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Preventive Care Services Established Office Visit, 18 and Up
Resource: Preventive Care Services Established Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Preventive Care Services Initial Office Visit, 18 and Up
Resource: Preventive Care Services Initial Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Home Healthcare Services
Resource: Home Healthcare Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Ophthalmological Services
Resource: Ophthalmological Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Preventive Care Services Individual Counseling
Resource: Preventive Care Services Individual Counseling Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Discharge Services Nursing Facility
Resource: Discharge Services Nursing Facility Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1013 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Nursing Facility Visit
Resource: Nursing Facility Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Care Services in Long Term Residential Facility
Resource: Care Services in Long Term Residential Facility Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Audiology Visit
Resource: Audiology Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1066 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Telephone Visits
Resource: Telephone Visits Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Virtual Encounter
Resource: Virtual Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Physical Therapy Evaluation
Resource: Physical Therapy Evaluation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Occupational Therapy Evaluation
Resource: Occupational Therapy Evaluation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Encounter Inpatient
Resource: Encounter Inpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Hospice Encounter
Resource: Hospice Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Hospice Care Ambulatory
Resource: Hospice Care Ambulatory Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: Value set Hospice Diagnosis
Resource: Hospice Diagnosis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| 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: Patient
Profile(s): Patient Must Support Elements: birthDate |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment
Must Support Elements: code, effective, status Code Filter(s): Path: code ValueSet: Falls Screening |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment
Must Support Elements: code, value, effective, status Code Filter(s): Path: code Code(s): LOINC: 45755-6 (Hospice care [Minimum Data Set]) Path: value |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Office Visit |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Annual Wellness Visit |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Home Healthcare Services |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Ophthalmological Services |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Preventive Care Services Individual Counseling |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Discharge Services Nursing Facility |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Nursing Facility Visit |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Care Services in Long Term Residential Facility |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Audiology Visit |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Telephone Visits |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Virtual Encounter |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Physical Therapy Evaluation |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Occupational Therapy Evaluation |
||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: abatement, verificationStatus, onset, recordedDate, clinicalStatus |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter
Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period Code Filter(s): Path: type ValueSet: Encounter Inpatient |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Encounter
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Hospice Encounter |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest
Must Support Elements: code, authoredOn Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Procedure
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure
Must Support Elements: code, performed Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
||||||||||||||||||||||||||||||||||||||||||||||||||
| Parameters | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||
| Generated using version 0.5.4 of the sample-content-ig Liquid templates | |||||||||||||||||||||||||||||||||||||||||||||||||||