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/CMS832FHIRHHAKI#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 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 USCoreCommon
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: Library SDE
Resource: SupplementalDataElements version: 6.1.000
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000
Dependency Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
Dependency Description: Code system ObservationCategoryCodes
Resource: Observation Category Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/observation-category
Dependency Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC)
Canonical URL: http://loinc.org
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 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 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
Dependency Description: Value set Creatinine Mass Per Volume
Resource: Creatinine Mass Per Volume
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.21
Dependency Description: Value set Obstetrics and VTE Obstetrics
Resource: Obstetrics and VTE Obstetrics
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.33
Dependency Description: Value set Hospital Based Dialysis Services
Resource: Hospital Based Dialysis Services
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.199
Dependency Description: Value set Present on Admission or Clinically Undetermined
Resource: Present on Admission or Clinically Undetermined
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1147.197
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 High Risk Diagnosis for AKI
Resource: High Risk Diagnosis for AKI
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.12
Dependency Description: Value set High Risk Procedures for AKI
Resource: High Risk Procedures for AKI
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.19
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, status, period, reasonCode, id
Code Filter(s):
Path: type
ValueSet: Observation Services
Path: status
Code(s): [not stated]: finished (finished)
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, period, reasonCode, id
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit
Path: status
Code(s): [not stated]: finished (finished)
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, reasonCode, id
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Path: status
Code(s): [not stated]: finished (finished)
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: id, period, reasonCode
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-lab
Must Support Elements: code, effective, value, status
Code Filter(s):
Path: code
ValueSet: Creatinine Mass Per Volume
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Must Support Elements: code, effective, status, value
Code Filter(s):
Path: code
ValueSet: Creatinine Mass Per Volume
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Must Support Elements: code, effective, value, status, id, issued, category
Code Filter(s):
Path: code
ValueSet: Creatinine Mass Per Volume
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Must Support Elements: code, effective, status, value, id
Code Filter(s):
Path: code
ValueSet: Creatinine Mass Per Volume
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: Observation
Profile(s): US Core Respiratory Rate Profile
Must Support Elements: effective, value
Data Requirement Type: Observation
Profile(s): US Core Blood Pressure Profile
Must Support Elements: effective, component
Data Requirement Type: Observation
Profile(s): US Core Heart Rate Profile
Must Support Elements: effective, value
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Hospital Based Dialysis Services
Path: status
Code(s): [not stated]: completed (completed)
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Hospital Based Dialysis Services
Path: status
Code(s): [not stated]: completed (completed)
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: High Risk Procedures for AKI
Path: status
Code(s): [not stated]: completed (completed)
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id
Data Requirement Type: Claim
Profile(s): Claim
Must Support Elements: status, use, item, diagnosis
Code Filter(s):
Path: status
Code(s): [not stated]: active (active)
Path: use
Code(s): [not stated]: claim (claim)
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: Observation
Profile(s): US Core Body Temperature Profile
Must Support Elements: effective, value
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Risk Variable First Respiratory Rate In Encounter Out 0..* Resource
Risk Variable Estimated Glomerular Filtration Rate For Males Out 0..* Resource
Risk Variable First Systolic Blood Pressure In Encounter Out 0..* Resource
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Risk Variable Estimated Glomerular Filtration Rate For Females Out 0..* Resource
Risk Variable First Heart Rate In Encounter Out 0..* Resource
Numerator Out 0..* Encounter
Risk Variable All Encounter Diagnoses With POA Indication Out 0..* Resource
Denominator Out 0..* Encounter
SDE Payer Out 0..* Resource
Risk Variable First Temperature In Encounter Out 0..* Resource
Initial Population Out 0..* Encounter
SDE Ethnicity Out 0..1 Resource
Denominator Exclusion Out 0..* Encounter
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