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/NHSNAcuteCareHospitalMonthlyInitialPopulation1#effective-data-requirements Version: Draft based on 0.0.000
Draft Responsible: Centers for Disease Control and Prevention (CDC) 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 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: Library CQMCommon
Resource: CQMCommon version: 5.1.000
Canonical URL: https://madie.cms.gov/Library/CQMCommon|5.1.000
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: 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 Observation Category
Resource: Observation Category Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/observation-category
Dependency Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical
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 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 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 Inpatient, Emergency, and Observation Locations
Resource: Inpatient, Emergency, and Observation Locations
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, period, id, meta, identifier, statusHistory, class, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, period, id, meta, identifier, statusHistory, class, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, period, id, meta, identifier, statusHistory, class, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Code Filter(s):
Path: type
ValueSet: Observation Services
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: class, status, period, id, meta, identifier, statusHistory, classHistory, type, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Code Filter(s):
Path: class
Code(s): ActCode: EMER (emergency)
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: class, status, period, id, meta, identifier, statusHistory, classHistory, type, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Code Filter(s):
Path: class
Code(s): ActCode: OBSENC (observation encounter)
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: class, status, period, id, meta, identifier, statusHistory, classHistory, type, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id
Data Requirement Type: Location
Profile(s): Location
Must Support Elements: id, meta, extension, status, operationalStatus, name, alias, description, mode, type, telecom, address, physicalType, position, managingOrganization, partOf, hoursOfOperation, availabilityExceptions, endpoint
Data Requirement Type: Coverage
Profile(s): Coverage
Must Support Elements: period, id, meta, status, type, policyHolder, subscriber, subscriberId, beneficiary, dependent, relationship, payor, class, order, network, subrogation, contract
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: performed, id, meta, extension, basedOn, partOf, status, category, code, subject, encounter, location, reasonCode, reasonReference, bodySite
Data Requirement Type: Device
Profile(s): Device
Must Support Elements: id, meta, extension, status, expirationDate, lotNumber, serialNumber, modelNumber, partNumber, type, patient, parent
Data Requirement Type: Observation
Profile(s): US Core Vital Signs Profile
Must Support Elements: effective, id, meta, extension, partOf, status, category, code, subject, encounter, issued, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: DiagnosticReport
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note
Must Support Elements: category, effective, id, meta, extension, basedOn, status, code, subject, encounter, issued, specimen, result, conclusion, conclusionCode
Data Requirement Type: Specimen
Profile(s): US Core Specimen Profile
Must Support Elements: collection, collection.collected, id, type
Data Requirement Type: MedicationAdministration
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone
Must Support Elements: effective, id, meta, instantiates, partOf, status, statusReason, category, medication, subject, context, supportingInformation, performer, reasonCode, reasonReference, request, device, note, dosage
Data Requirement Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: authoredOn, id, meta, status, statusReason, intent, category, priority, doNotPerform, reported, medication, subject, encounter, requester, recorder, reasonCode, reasonReference, instantiatesCanonical, instantiatesUri, courseOfTherapyType, dosageInstruction
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: authoredOn, id, meta, instantiatesCanonical, instantiatesUri, basedOn, replaces, requisition, status, intent, category, priority, code, orderDetail, quantity, subject, encounter, occurrence, asNeeded, requester, performerType, performer, locationCode, reasonCode, reasonReference, insurance, bodySite, note, patientInstruction
Data Requirement Type: ServiceRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested
Must Support Elements: authoredOn, id, meta, instantiatesCanonical, instantiatesUri, basedOn, replaces, requisition, status, intent, category, priority, doNotPerform, code, orderDetail, quantity, subject, encounter, occurrence, asNeeded, requester, performerType, performer, locationCode, reasonCode, reasonReference, insurance, bodySite, note, patientInstruction
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment
Must Support Elements: effective, id, meta, extension, partOf, status, category, code, subject, encounter, issued, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: id, meta, extension, identifier, active, name, telecom, gender, birthDate, deceased, address, maritalStatus, multipleBirth, photo, contact, communication, generalPractitioner, managingOrganization, link
Data Requirement Type: Medication
Profile(s): Medication
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest
Must Support Elements: authoredOn, id, meta, status, statusReason, intent, category, priority, reported, medication, subject, encounter, requester, recorder, reasonCode, reasonReference, instantiatesCanonical, instantiatesUri, courseOfTherapyType, dosageInstruction
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration
Must Support Elements: effective, id, meta, instantiates, partOf, status, statusReason, category, medication, subject, context, supportingInformation, performer, reasonCode, reasonReference, request, device, note, dosage
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation
Must Support Elements: category, effective, id, meta, extension, partOf, status, code, subject, encounter, issued, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Must Support Elements: effective, id, meta, extension, partOf, status, category, code, subject, encounter, issued, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: DiagnosticReport
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-lab
Must Support Elements: effective
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: id, meta, clinicalStatus, verificationStatus, category, severity, code, bodySite, subject, encounter, encounter.reference, onset, stage, evidence, note
Data Requirement Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis
Must Support Elements: id, meta, clinicalStatus, verificationStatus, category, severity, code, bodySite, subject, encounter, encounter.reference, onset, stage, evidence, note
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
SDE Coverage Out 0..* Resource
SDE Encounter Out 0..* Resource
SDE Procedure Out 0..* Resource
SDE Device Out 0..* Resource
SDE Observation Vital Signs Category Out 0..* Resource
SDE DiagnosticReport Others Out 0..* Resource
SDE Specimens Out 0..* Resource
SDE Medication Administration Not Done Out 0..* Resource
SDE Medication Not Requested Out 0..* Resource
Initial Population Out 0..* Encounter
SDE Service Request Out 0..* Resource
SDE Observation Survey Out 0..* Resource
SDE Minimal Patient Out 0..* Resource
SDE Medication Out 0..* Resource
SDE Medication Request Out 0..* Resource
SDE IP Encounters Out 0..* Resource
SDE Observation Simple Out 0..* Resource
SDE Observation Lab Category Out 0..* Resource
SDE Service Not Requested Out 0..* Resource
SDE Medication Administration Out 0..* Resource
SDE Medication Administration Base Out 0..* Resource
SDE DiagnosticReport Lab Out 0..* Resource
SDE Location Out 0..* Resource
SDE DiagnosticReport Note Out 0..* Resource
SDE Medication Request Base Out 0..* Resource
SDE Condition Problems HealthConcerns Out 0..* Resource
SDE Condition Diagnosis Out 0..* Resource
SDE Service Request Base Out 0..* Resource
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