dQM QICore Content Implementation Guide
2025.0.0 - CI Build

dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

Library: Library

Official URL: https://madie.cms.gov/Measure/CMS1017FHIRHHFI#effective-data-requirements Version: 1.0.000
Active Responsible: Centers for Medicare & Medicaid Services (CMS) Computable Name: EffectiveDataRequirements
Metadata
Type http://terminology.hl7.org/CodeSystem/library-type#module-definition
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period
Code Filter(s):
Path: type
ValueSet: Observation Services
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id.value
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Antidepressants
Data Requirement Type: Claim
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim
Must Support Elements: status, status.value, use, use.value, item
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period, id, id.value
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Data Requirement Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: birthDate
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: birthDate.value
Data Requirement Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Anticoagulants for All Indications
Data Requirement Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Must Support Elements: medication.reference.value
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Anticoagulants for All Indications
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi
Must Support Elements: effective, value, status, status.value
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Diuretics
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Central Nervous System Depressants
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: extension
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Antihypertensives
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Opioids
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication.reference.value
Data Requirement Type: Medication
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication
Must Support Elements: id.value, code
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: id
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: id.value
Data Requirement Type: AdverseEvent
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent
Must Support Elements: event, date, date.value, recordedDate, recordedDate.value
Code Filter(s):
Path: event
ValueSet: Inpatient Falls
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period, reasonCode
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Claim
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim
Must Support Elements: status, status.value, use, use.value, item, diagnosis
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url
Data Requirement Type: Coverage
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url, extension
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
ErrorLevel In 0..1 string
Risk Variable Encounter with Osteoporosis Present on Admission Out 0..* Resource
Risk Variable Encounter with Coagulation Disorder Present on Admission Out 0..* Resource
Risk Variable Encounter with Antidepressant Active at Admission Out 0..* Resource
Risk Variable All Encounter Diagnoses with Rank and POA Indication Out 0..* Resource
Risk Variable Encounter with Leukemia or Lymphoma Present on Admission Out 0..* Resource
Risk Variable Encounter with Obesity Present on Admission Out 0..* Resource
Risk Variable Encounter with Peripheral Neuropathy Present on Admission Out 0..* Resource
Risk Variable Encounter with Delirium or Dementia or Other Psychosis Present on Admission Out 0..* Resource
Risk Variable Encounter with Suicide Attempt Out 0..* Resource
SDE Payer Out 0..* Resource
Risk Variable Encounter with Liver Disease Moderate to Severe Present on Admission Out 0..* Resource
Initial Population Out 0..* Resource
Risk Variable Encounter with Anticoagulant Administration During Encounter Out 0..* Resource
Risk Variable Encounter with Neurologic Disorder Present on Admission Out 0..* Resource
Risk Variable Encounter with Abnormal Weight Loss or Malnutrition Present on Admission Out 0..* Resource
Risk Variable Encounter with Anticoagulant Active at Admission Out 0..* Resource
Risk Variable Body Mass Index (BMI) Out 0..* Quantity
Risk Variable Encounter with Depression Present on Admission Out 0..* Resource
Risk Variable Encounter with Epilepsy Present on Admission Out 0..* Resource
Risk Variable Encounter with Diuretic Active at Admission Out 0..* Resource
Risk Variable Encounter with CNS Depressant Active at Admission Out 0..* Resource
SDE Race Out 0..1 Resource
Risk Variable Encounter with Malignant Bone Disease Present on Admission Out 0..* Resource
SDE Sex Out 0..1 Coding
Risk Variable Encounter with Antihypertensive Active at Admission Out 0..* Resource
Risk Variable Encounter with Opioid Medication Active at Admission Out 0..* Resource
Numerator Out 0..* Resource
Denominator Out 0..* Resource
Numerator Exclusions Out 0..* Resource
SDE Ethnicity Out 0..1 Resource
Denominator Exclusions Out 0..* Resource
Risk Variable Encounter with Stroke Present on Admission Out 0..* Resource
Citations and References
Dependency Description: Library CQMCommon
Resource: CQMCommon version: 4.1.000
Canonical URL: https://madie.cms.gov/Library/CQMCommon|4.1.000
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library QICoreCommon
Resource: QICoreCommon version: 4.0.000
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Dependency Description: Library QICoreCommon
Resource: QICoreCommon version: 4.0.000
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library CMD
Resource: CumulativeMedicationDuration version: 6.0.000
Canonical URL: https://madie.cms.gov/Library/CumulativeMedicationDuration|6.0.000
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library SDE
Resource: SupplementalDataElements version: 5.1.000
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Code system MedicationRequestCategory
Resource: MedicationRequest Category Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/medicationrequest-category
Dependency Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
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 Osteoporosis
Resource: Osteoporosis
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1200.147
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 Coagulation Disorders
Resource: Coagulation Disorders
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.23
Dependency Description: Value set Antidepressants
Resource: Antidepressants
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.163
Dependency Description: Value set Not Present On Admission or Documentation Insufficient to Determine
Resource: Not Present On Admission or Documentation Insufficient to Determine
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1147.198
Dependency Description: Value set Leukemia or Lymphoma
Resource: Leukemia or Lymphoma
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.136
Dependency Description: Value set Obesity
Resource: Obesity
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.162
Dependency Description: Value set Peripheral Neuropathy
Resource: Peripheral Neuropathy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.175
Dependency Description: Value set Delirium, Dementia, and Other Psychoses
Resource: Delirium or Dementia and Other Psychoses
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.168
Dependency Description: Value set Suicide Attempt
Resource: Suicide Attempt
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.130
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 Liver Disease Moderate to Severe
Resource: Liver Disease Moderate to Severe
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.137
Dependency Description: Value set Anticoagulants for All Indications
Resource: Anticoagulants for All Indications
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.22
Dependency Description: Value set Neurologic Movement and Related Disorders
Resource: Neurologic Movement and Related Disorders
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.174
Dependency Description: Value set Abnormal Weight Loss
Resource: Abnormal Weight Loss
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1258.2
Dependency Description: Value set Malnutrition
Resource: Malnutrition
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1272.1
Dependency Description: Value set Depression
Resource: Depression
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.169
Dependency Description: Value set Epilepsy
Resource: Epilepsy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.171
Dependency Description: Value set Diuretics
Resource: Diuretics
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.170
Dependency Description: Value set Central Nervous System Depressants
Resource: Central Nervous System Depressants
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.134
Dependency Description: Value set Malignant Bone Disease
Resource: Malignant Bone Disease
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.24
Dependency Description: Value set Antihypertensives
Resource: Antihypertensives
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.164
Dependency Description: Value set Opioids
Resource: Opioids
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.120
Dependency Description: Value set Inpatient Falls
Resource: Inpatient Falls
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1147.171
Dependency Description: Value set Major Injuries
Resource: Major Injuries
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1147.120
Dependency Description: Value set Moderate Injuries
Resource: Moderate Injuries
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.205
Dependency Description: Value set Stroke
Resource: Stroke
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.176
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