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/CMS22FHIRPCSBPScreeningFollowUp#effective-data-requirements Version: 1.0.000
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 Status
Resource: Status version: 2.1.000
Canonical URL: https://madie.cms.gov/Library/Status|2.1.000
Dependency Description: Library USQualityCoreCommon
Resource: US Quality Core Common version: 0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCoreCommon|0.1.0-cibuild
Dependency Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
Dependency Description: Code system ActCode
Resource: ActCode
Canonical URL: http://terminology.hl7.org/CodeSystem/v3-ActCode
Dependency Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC)
Canonical URL: http://loinc.org
Dependency Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical
Dependency Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status
Dependency Description: Value set Encounter to Screen for Blood Pressure
Resource: Encounter to Screen for Blood Pressure
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920
Dependency Description: Value set Follow Up Within 6 Months
Resource: Follow Up Within 6 Months
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.125
Dependency Description: Value set Lifestyle Recommendation
Resource: Lifestyle Recommendation
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581
Dependency Description: Value set Weight Reduction Recommended
Resource: Weight Reduction Recommended
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510
Dependency Description: Value set Dietary Recommendations
Resource: Dietary Recommendations
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515
Dependency Description: Value set Recommendation to Increase Physical Activity
Resource: Recommendation to Increase Physical Activity
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518
Dependency Description: Value set Referral or Counseling for Alcohol Consumption
Resource: Referral or Counseling for Alcohol Consumption
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583
Dependency Description: Value set Referral to Primary Care or Alternate Provider
Resource: Referral to Primary Care or Alternate Provider
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580
Dependency Description: Value set Finding of Elevated Blood Pressure or Hypertension
Resource: Finding of Elevated Blood Pressure or Hypertension
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514
Dependency Description: Value set Follow Up Within 4 Weeks
Resource: Follow Up Within 4 Weeks
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578
Dependency Description: Value set Laboratory Tests for Hypertension
Resource: Laboratory Tests for Hypertension
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482
Dependency Description: Value set Pharmacologic Therapy for Hypertension
Resource: Pharmacologic Therapy for Hypertension
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577
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 Diagnosis of Hypertension
Resource: Diagnosis of Hypertension
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263
Dependency Description: Value set Patient Declined
Resource: Patient Declined
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582
Dependency Description: Value set Medical Reason
Resource: Medical Reason
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007
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, class
Code Filter(s):
Path: type
ValueSet: Encounter to Screen for Blood Pressure
Path: status
Code(s): [not stated]: finished (finished)
Path: class
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: birthDate
Data Requirement Type: Observation
Profile(s): US Core Blood Pressure Profile
Must Support Elements: effective, status, component
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Lifestyle Recommendation
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Weight Reduction Recommended
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Dietary Recommendations
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Recommendation to Increase Physical Activity
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Referral or Counseling for Alcohol Consumption
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Path: intent
Code(s): [not stated]: order (order)
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
Code(s): LOINC: 34534-8 (EKG 12 channel panel)
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
Code(s): LOINC: 11524-6 (EKG study)
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Laboratory Tests for Hypertension
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Path: intent
Code(s): [not stated]: order (order)
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, authoredOn, intent
Code Filter(s):
Path: code
ValueSet: Follow Up Within 4 Weeks
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, reasonCode, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Referral to Primary Care or Alternate Provider
Data Requirement Type: Medication
Profile(s): Medication
Must Support Elements: id, code
Code Filter(s):
Path: code
ValueSet: Pharmacologic Therapy for Hypertension
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest
Must Support Elements: medication.reference, authoredOn, status
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest
Must Support Elements: medication, authoredOn, status
Code Filter(s):
Path: medication
ValueSet: Pharmacologic Therapy for Hypertension
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, onset, recordedDate, clinicalStatus
Data Requirement Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Diagnosis of Hypertension
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observationcancelled
Must Support Elements: code, issued
Code Filter(s):
Path: code
Code(s): LOINC: 85354-9 (Blood pressure panel with all children optional)
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observationcancelled
Must Support Elements: code, issued
Code Filter(s):
Path: code
Code(s): LOINC: 8480-6 (Systolic blood pressure)
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observationcancelled
Must Support Elements: code, issued
Code Filter(s):
Path: code
Code(s): LOINC: 8462-4 (Diastolic blood pressure)
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Lifestyle Recommendation
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Weight Reduction Recommended
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Dietary Recommendations
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Recommendation to Increase Physical Activity
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Referral or Counseling for Alcohol Consumption
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
Code(s): LOINC: 34534-8 (EKG 12 channel panel)
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
Code(s): LOINC: 11524-6 (EKG study)
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Laboratory Tests for Hypertension
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Follow Up Within 4 Weeks
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, status, reasonCode, authoredOn
Code Filter(s):
Path: code
ValueSet: Referral to Primary Care or Alternate Provider
Data Requirement Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: medication, status
Code Filter(s):
Path: medication
ValueSet: Pharmacologic Therapy for Hypertension
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
SDE Sex Out 0..1 Coding
Numerator Out 0..* Encounter
Denominator Out 0..* Encounter
SDE Payer Out 0..* Resource
Initial Population Out 0..* Encounter
SDE Ethnicity Out 0..1 Resource
Denominator Exclusions Out 0..* Encounter
SDE Race Out 0..1 Resource
Denominator Exceptions Out 0..* Encounter
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