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/CMS69FHIRPCSBMIScreenAndFollowUp#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 Status
Resource: Status version: 2.1.000 Canonical URL: https://madie.cms.gov/Library/Status|2.1.000 |
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| Dependency |
Description: Library Hospice
Resource: Hospice version: 7.1.000 Canonical URL: https://madie.cms.gov/Library/Hospice|7.1.000 |
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| Dependency |
Description: Library PalliativeCare
Resource: PalliativeCare version: 2.1.000 Canonical URL: https://madie.cms.gov/Library/PalliativeCare|2.1.000 |
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| 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 |
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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 ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Dependency |
Description: Code system USCoreConditionCategory
Resource: US Core Condition Category Extension Codes Canonical URL: http://hl7.org/fhir/us/core/CodeSystem/condition-category |
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| Dependency |
Description: Code system ActCode
Resource: ActCode Canonical URL: http://terminology.hl7.org/CodeSystem/v3-ActCode |
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| Dependency |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
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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 Follow Up for Above Normal BMI
Resource: Follow Up for Above Normal BMI Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1525 |
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| Dependency |
Description: Value set Referrals Where Weight Assessment May Occur
Resource: Referrals Where Weight Assessment May Occur Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1527 |
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| Dependency |
Description: Value set Medications for Above Normal BMI
Resource: Medications for Above Normal BMI Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1561 |
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| Dependency |
Description: Value set Overweight or Obese
Resource: Overweight or Obese Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.502 |
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| Dependency |
Description: Value set Follow Up for Below Normal BMI
Resource: Follow Up for Below Normal BMI Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1528 |
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| Dependency |
Description: Value set Medications for Below Normal BMI
Resource: Medications for Below Normal BMI Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1562 |
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| Dependency |
Description: Value set Underweight
Resource: Underweight Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1563 |
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| Dependency |
Description: Value set Encounter to Evaluate BMI
Resource: Encounter to Evaluate BMI Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1751 |
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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 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 Hospice Encounter
Resource: Hospice Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 |
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| 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 |
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| 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 |
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| Dependency |
Description: Value set Palliative Care Diagnosis
Resource: Palliative Care Diagnosis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167 |
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| Dependency |
Description: Value set Palliative Care Encounter
Resource: Palliative Care Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 |
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| Dependency |
Description: Value set Palliative Care Intervention
Resource: Palliative Care Intervention Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 |
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| Dependency |
Description: Value set Pregnancy or Other Related Diagnoses
Resource: Pregnancy Obstetric or Maternal Diagnoses Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1623 |
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| 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 |
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| 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 |
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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: Patient
Profile(s): Patient Must Support Elements: birthDate |
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| Data Requirement |
Type: Observation
Profile(s): US Core BMI Profile Must Support Elements: value, effective, status |
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| Data Requirement |
Type: Medication
Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Medications for Above Normal BMI |
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| Data Requirement |
Type: Medication
Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Medications for Below Normal BMI |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication Code Filter(s): Path: medication ValueSet: Medications for Above Normal BMI |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication.reference |
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| Data Requirement |
Type: MedicationRequest
Profile(s): MedicationRequest Must Support Elements: medication Code Filter(s): Path: medication ValueSet: Medications for Below Normal BMI |
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| Data Requirement |
Type: ServiceRequest
Profile(s): ServiceRequest Must Support Elements: code, status, intent Code Filter(s): Path: code ValueSet: Follow Up for Above Normal BMI |
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| Data Requirement |
Type: ServiceRequest
Profile(s): ServiceRequest Must Support Elements: code, status, intent Code Filter(s): Path: code ValueSet: Follow Up for Below Normal BMI |
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| Data Requirement |
Type: ServiceRequest
Profile(s): ServiceRequest Must Support Elements: code, status, intent Code Filter(s): Path: code ValueSet: Referrals Where Weight Assessment May Occur |
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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: Overweight or Obese |
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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: Underweight |
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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: Pregnancy Obstetric or Maternal Diagnoses |
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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
Must Support Elements: code Code Filter(s): Path: code ValueSet: Overweight or Obese |
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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
Must Support Elements: code Code Filter(s): Path: code ValueSet: Underweight |
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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
Must Support Elements: code Code Filter(s): Path: code ValueSet: Pregnancy Obstetric or Maternal Diagnoses |
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| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: abatement, verificationStatus, onset, recordedDate, clinicalStatus |
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| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
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| Data Requirement |
Type: Condition
Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Palliative Care Diagnosis |
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| Data Requirement |
Type: Procedure
Profile(s): Procedure Must Support Elements: code, reasonCode, performed, status Code Filter(s): Path: code ValueSet: Follow Up for Above Normal BMI |
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| Data Requirement |
Type: Procedure
Profile(s): Procedure Must Support Elements: code, reasonCode, status, performed Code Filter(s): Path: code ValueSet: Follow Up for Below Normal BMI |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, class, status Code Filter(s): Path: type ValueSet: Encounter to Evaluate BMI Path: class Path: status Code(s): [not stated]: finished (finished) |
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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: 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 |
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| 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 |
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| 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: Palliative Care Encounter |
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| 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 |
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| 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 Code(s): LOINC: 71007-9 (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)) |
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| 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 |
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| 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 |
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| 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: Palliative Care Intervention |
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| Data Requirement |
Type: Observation
Profile(s): US Core Observation Pregnancy Status Profile Must Support Elements: effective, status, value Code Filter(s): Path: value ValueSet: Pregnancy Obstetric or Maternal Diagnoses |
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| Data Requirement |
Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, authoredOn, status Code Filter(s): Path: code ValueSet: Referrals Where Weight Assessment May Occur |
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| Data Requirement |
Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, authoredOn, status Code Filter(s): Path: code ValueSet: Follow Up for Above Normal BMI |
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| Data Requirement |
Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: code, authoredOn, status Code Filter(s): Path: code ValueSet: Follow Up for Below Normal BMI |
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| Data Requirement |
Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: medication, authoredOn, status, reasonCode Code Filter(s): Path: medication ValueSet: Medications for Above Normal BMI |
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| Data Requirement |
Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: medication, authoredOn, status, reasonCode Code Filter(s): Path: medication ValueSet: Medications for Below Normal BMI |
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| Data Requirement |
Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observationcancelled
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC: 39156-5 (Body mass index (BMI) [Ratio]) |
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| Parameters | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Generated using version 0.5.4 of the sample-content-ig Liquid templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||