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/CMS506FHIRSafeUseofOpioids#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: Centers for Medicare & Medicaid Services (CMS) | Computable Name: EffectiveDataRequirements | ||
| Metadata | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 |
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| 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 |
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| 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 |
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| Dependency |
Description: Library SDE
Resource: SupplementalDataElements version: 6.1.000 Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000 |
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| 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 |
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| 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 |
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| 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 |
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| Dependency |
Description: Library CQMCommon
Resource: CQMCommon version: 5.1.000 Canonical URL: https://madie.cms.gov/Library/CQMCommon|5.1.000 |
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| Dependency |
Description: Library Status
Resource: Status version: 2.1.000 Canonical URL: https://madie.cms.gov/Library/Status|2.1.000 |
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| Dependency |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
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| Dependency |
Description: Code system MedicationRequestCategory
Resource: MedicationRequest Category Codes Canonical URL: http://terminology.hl7.org/CodeSystem/medicationrequest-category |
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| Dependency |
Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Dependency |
Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status |
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| 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 |
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| Dependency |
Description: Value set Schedule II, III and IV Opioid Medications
Resource: Schedule II, III and IV Opioid Medications Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.241 |
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| Dependency |
Description: Value set Schedule IV Benzodiazepines
Resource: Schedule IV Benzodiazepines Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1125.1 |
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| 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 |
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| Dependency |
Description: Value set Cancer Related Pain
Resource: Cancer Related Pain Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.180 |
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| Dependency |
Description: Value set Sickle Cell Disease with and without Crisis
Resource: Sickle Cell Disease with and without Crisis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.175 |
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| Dependency |
Description: Value set Medications for Opioid Use Disorder (MOUD)
Resource: Medications for Opioid Use Disorder (MOUD) Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.269 |
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| Dependency |
Description: Value set Opioid Medication Assisted Treatment (MAT)
Resource: Opioid Medication Assisted Treatment (MAT) Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.177 |
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| Dependency |
Description: Value set Opioid Use Disorder
Resource: Opioid Use Disorder Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.171 |
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| Dependency |
Description: Value set Palliative or Hospice Care
Resource: Palliative or Hospice Care Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1579 |
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| 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 |
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| Dependency |
Description: Value set Emergency Department Visit
Resource: Emergency Department Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292 |
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| Dependency |
Description: Value set Discharge To Acute Care Facility
Resource: Discharge To Acute Care Facility Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87 |
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| Dependency |
Description: Value set Hospice Care Referral or Admission
Resource: Hospice Care Referral or Admission Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1116.365 |
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| Dependency |
Description: Value set Patient Expired
Resource: Patient Expired Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309 |
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| Dependency |
Description: Value set Left Against Medical Advice
Resource: Left Against Medical Advice Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308 |
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| 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 |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period, reasonCode, hospitalization, hospitalization.dischargeDisposition Code Filter(s): Path: type ValueSet: Encounter Inpatient Path: status Code(s): [not stated]: finished (finished) |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period, reasonCode, hospitalization, hospitalization.dischargeDisposition Code Filter(s): Path: type ValueSet: Observation Services Path: status Code(s): [not stated]: finished (finished) |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period, reasonCode, hospitalization, hospitalization.dischargeDisposition Code Filter(s): Path: type ValueSet: Emergency Department Visit Path: status Code(s): [not stated]: finished (finished) |
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| Data Requirement |
Type: Medication
Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Schedule II, III and IV Opioid Medications |
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| Data Requirement |
Type: Medication
Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Schedule IV Benzodiazepines |
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| Data Requirement |
Type: Medication
Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Medications for Opioid Use Disorder (MOUD) |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication, status, intent, authoredOn Code Filter(s): Path: medication ValueSet: Schedule II, III and IV Opioid Medications |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication, status, intent, authoredOn Code Filter(s): Path: medication ValueSet: Schedule IV Benzodiazepines |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication.reference, status, intent, authoredOn, medication |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication, status, intent, authoredOn Code Filter(s): Path: medication ValueSet: Medications for Opioid Use Disorder (MOUD) |
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| 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 |
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| Data Requirement |
Type: Patient
Profile(s): Patient Must Support Elements: birthDate |
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| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: abatement, onset, recordedDate, clinicalStatus |
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| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis
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| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns
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| 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: Opioid Use Disorder |
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| 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: Cancer Related Pain |
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| 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: Sickle Cell Disease with and without Crisis |
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| Data Requirement |
Type: Procedure
Profile(s): Procedure Must Support Elements: code, performed, status Code Filter(s): Path: code ValueSet: Opioid Medication Assisted Treatment (MAT) |
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| Data Requirement |
Type: Procedure
Profile(s): Procedure Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Palliative or Hospice Care |
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| Data Requirement |
Type: ServiceRequest
Profile(s): ServiceRequest Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Palliative or Hospice Care |
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| Parameters | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Generated using version 0.5.4 of the sample-content-ig Liquid templates | |||||||||||||||||||||||||||||||||||||||||||||||||||