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/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 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
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
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: class
Code Filter(s):
Path: class
Code(s): ActCode: EMER (emergency)
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: class
Code Filter(s):
Path: class
Code(s): ActCode: OBSENC (observation encounter)
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: class
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
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: Location
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location
Data Requirement Type: Coverage
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
Must Support Elements: period, id, id.value, meta, status, status.value, type, policyHolder, subscriber, subscriberId, subscriberId.value, beneficiary, dependent, dependent.value, relationship, payor, class, order, order.value, network, network.value, subrogation, subrogation.value, contract
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: location, period, status, status.value
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: id
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: id.value
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: period, id, id.value, meta, identifier, status, status.value, statusHistory, class, classHistory, type, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, location, partOf
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: performed, id, id.value, meta, extension, basedOn, partOf, status, status.value, category, code, subject, encounter, location, reasonCode, reasonReference, bodySite
Data Requirement Type: Device
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device
Must Support Elements: id, id.value, meta, extension, status, status.value, expirationDate, expirationDate.value, lotNumber, lotNumber.value, serialNumber, serialNumber.value, modelNumber, modelNumber.value, partNumber, partNumber.value, type, patient, parent
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
Must Support Elements: effective, id, id.value, meta, extension, partOf, status, status.value, category, code, subject, encounter, issued, issued.value, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: Specimen
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen
Must Support Elements: collection, collection.collected, id, id.value, type
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: effective, id, id.value, meta, extension, partOf, status, status.value, category, code, subject, encounter, issued, issued.value, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: id, id.value, meta, extension, identifier, active, active.value, name, telecom, gender, gender.value, birthDate, birthDate.value, deceased, address, maritalStatus, multipleBirth, photo, contact, communication, generalPractitioner, managingOrganization, link
Data Requirement Type: Medication
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Data Requirement Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested
Must Support Elements: authoredOn, authoredOn.value, id, id.value, meta, status, status.value, statusReason, intent, intent.value, category, priority, priority.value, doNotPerform, doNotPerform.value, reported, medication, medication.extension, subject, encounter, requester, recorder, reasonCode, reasonReference, instantiatesCanonical, instantiatesUri, courseOfTherapyType, dosageInstruction
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation
Must Support Elements: category, effective, id, id.value, meta, extension, partOf, status, status.value, code, subject, encounter, issued, issued.value, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab
Must Support Elements: effective, id, id.value, meta, extension, partOf, status, status.value, category, code, subject, encounter, issued, issued.value, value, dataAbsentReason, interpretation, bodySite, method, specimen, referenceRange, hasMember, derivedFrom, component
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: authoredOn, authoredOn.value, id, id.value, meta, instantiatesCanonical, instantiatesUri, basedOn, replaces, requisition, status, status.value, intent, intent.value, category, priority, priority.value, doNotPerform, doNotPerform.value, code, code.extension, orderDetail, quantity, subject, encounter, occurrence, asNeeded, requester, performerType, performer, locationCode, reasonCode, reasonReference, insurance, bodySite, note, patientInstruction, patientInstruction.value
Data Requirement Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdone
Must Support Elements: effective, id, id.value, meta, instantiates, partOf, status, status.value, statusReason, category, medication, medication.extension, subject, context, supportingInformation, performer, reasonCode, reasonReference, request, device, note, dosage
Data Requirement Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Must Support Elements: effective, id, id.value, meta, instantiates, partOf, status, status.value, statusReason, category, medication, subject, context, supportingInformation, performer, reasonCode, reasonReference, request, device, note, dosage
Data Requirement Type: DiagnosticReport
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-lab
Must Support Elements: effective
Data Requirement Type: DiagnosticReport
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note
Must Support Elements: category, effective, id, id.value, meta, extension, basedOn, status, status.value, code, subject, encounter, issued, issued.value, specimen, result, conclusion, conclusion.value, conclusionCode
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: authoredOn, authoredOn.value, id, id.value, meta, status, status.value, statusReason, intent, intent.value, category, priority, priority.value, reported, medication, subject, encounter, requester, recorder, reasonCode, reasonReference, instantiatesCanonical, instantiatesUri, courseOfTherapyType, dosageInstruction
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: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Must Support Elements: id, id.value, meta, clinicalStatus, verificationStatus, category, severity, code, bodySite, subject, encounter, encounter.reference, encounter.reference.value, onset, stage, evidence, note
Data Requirement Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Must Support Elements: id, id.value, meta, clinicalStatus, verificationStatus, category, severity, code, bodySite, subject, encounter, encounter.reference, encounter.reference.value, onset, stage, evidence, note
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: authoredOn, authoredOn.value, id, id.value, meta, instantiatesCanonical, instantiatesUri, basedOn, replaces, requisition, status, status.value, intent, intent.value, category, priority, priority.value, code, orderDetail, quantity, subject, encounter, occurrence, asNeeded, requester, performerType, performer, locationCode, reasonCode, reasonReference, insurance, bodySite, note, patientInstruction, patientInstruction.value
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..* Resource
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
Citations and References
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 CQMCommon
Resource: CQMCommon version: 4.1.000
Canonical URL: https://madie.cms.gov/Library/CQMCommon|4.1.000
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: Code system ActCode
Resource: ActCode
Canonical URL: http://terminology.hl7.org/CodeSystem/v3-ActCode
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
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