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/CMS90FHIRFSAforHeartFailure#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: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
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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: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| 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 |
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| 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 |
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| 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 |
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| Dependency |
Description: Value set Heart Failure
Resource: Heart Failure Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376 |
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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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| 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 Code Filter(s): Path: type ValueSet: Office Visit |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Telephone Visits |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, status, period Code Filter(s): Path: type ValueSet: Virtual Encounter |
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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): 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: 71969-0 (PROMIS-10 Global Mental Health (GMH) score T-score) |
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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: 71971-6 (PROMIS-10 Global Physical Health (GPH) score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71955-9 (PROMIS-29 Sleep disturbance score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71957-5 (PROMIS-29 Satisfaction with participation in social roles score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71959-1 (PROMIS-29 Physical function score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71961-7 (PROMIS-29 Pain interference score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71963-3 (PROMIS-29 Fatigue score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71965-8 (PROMIS-29 Depression score T-score) |
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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, value, status Code Filter(s): Path: code Code(s): LOINC: 71967-4 (PROMIS-29 Anxiety score T-score) |
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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: 72026-8 (VR-12 Mental component summary (MCS) score - oblique method T-score) |
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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: 72025-0 (VR-12 Physical component summary (PCS) score - oblique method T-score) |
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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: 72028-4 (VR-12 Mental component summary (MCS) score - orthogonal method T-score) |
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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: 72027-6 (VR-12 Physical component summary (PCS) score - orthogonal method T-score) |
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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: 71990-6 (VR-36 Mental component summary (MCS) score - oblique method T-score) |
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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: 71989-8 (VR-36 Physical component summary (PCS) score - oblique method T-score) |
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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: 72008-6 (VR-36 Mental component summary (MCS) score - orthogonal method T-score) |
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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: 72007-8 (VR-36 Physical component summary (PCS) score - orthogonal method T-score) |
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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: 85618-7 (Physical score [MLHFQ]) |
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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: 85609-6 (Emotional score [MLHFQ]) |
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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: 86923-0 (Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12]) |
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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: 86924-8 (Overall summary score [KCCQ-12]) |
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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: 72189-4 (Quality of life score [KCCQ]) |
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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: 72194-4 (Symptom stability score [KCCQ]) |
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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: 72190-2 (Self-efficacy score [KCCQ]) |
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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: 72191-0 (Total symptom score [KCCQ]) |
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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: 72195-1 (Physical limitation score [KCCQ]) |
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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: 72196-9 (Social limitation score [KCCQ]) |
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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: value, status |
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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: 71940-1 (Overall summary score [KCCQ]) |
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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: 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: Heart Failure |
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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 Code(s): SNOMED CT: 702956004 (Severe cognitive impairment (finding)) |
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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: Heart Failure |
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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 Code(s): SNOMED CT: 702956004 (Severe cognitive impairment (finding)) |
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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: 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: 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: 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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| Parameters | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Generated using version 0.5.4 of the sample-content-ig Liquid templates | |||||||||||||||||||||||||||||||||||||||||||||||||||