eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

## Library: Library

Official URL: http://ecqi.healthit.gov/ecqms/Measure/SevereObstetricComplicationsFHIR#effective-data-requirements | Version: 0.0.007
Draft | Responsible: The Joint Commission | Computable Name:

Id: | effective-data-requirements
Status: | active
Type: | system: http://terminology.hl7.org/CodeSystem/library-type code: module-definition
Related Artifacts: | Dependencies `Library/PCMaternal|5.10.000` `Library/FHIRHelpers|4.3.000` `Library/QICoreCommon|1.5.000` `Library/CQMCommon|1.4.000` `Library/QICoreCommon|1.5.000` `Library/FHIRHelpers|4.3.000` `Library/QICoreCommon|1.5.000` `Library/SupplementalDataElements|3.4.000` `Library/FHIRHelpers|4.3.000` LOINC Encounter Inpatient Delivery Procedures Observation Services ED Visit and OB Triage Estimated Gestational Age at Delivery 20 to 42 Plus Weeks Gestation Asthma Present On Admission is Yes or Exempt Substance Abuse Placenta Accreta Neuromuscular Disease Renal Disease Gastrointestinal Disease Hypertension Preterm Birth Pulmonary Hypertension Payer Thyrotoxicosis Mild or Moderate Preeclampsia Economic Housing Instability Placental Abruption COVID 19 Confirmed Respiratory Conditions Related to COVID 19 Respiratory Support Procedures Related to COVID 19 HIV in Pregnancy Childbirth and Puerperium Morbid or Severe Obesity Preexisting Diabetes Mental Health Disorder Venous Thromboembolism in Pregnancy Autoimmune Disease Bariatric Surgery Previous Cesarean Placenta Previa Gestational Diabetes Severe Maternal Morbidity Diagnoses Present on Admission is No or Unable To Determine Severe Maternal Morbidity Procedures Patient Expired Blood Transfusion Bleeding Disorder Multiple Pregnancy White blood cells count lab test Hematocrit lab test Anemia Severe Preeclampsia Cardiac Disease Long Term Anticoagulant Use
Parameters: |
Name | Type | Min | Max | In/Out
--- | --- | --- | --- | ---
Measurement Period | Period | 0 | 1 | In
Risk Variable Systolic Blood Pressure | Resource | 0 | 1 | Out
Risk Variable Asthma | Resource | 0 | * | Out
Risk Variable Substance Abuse | Resource | 0 | * | Out
Risk Variable Placental Accreta Spectrum | Resource | 0 | * | Out
Risk Variable Neuromuscular | Resource | 0 | * | Out
Risk Variable Renal Disease | Resource | 0 | * | Out
Risk Variable Gastrointestinal Disease | Resource | 0 | * | Out
Risk Variable Hypertension | Resource | 0 | * | Out
Risk Variable Preterm Birth | Resource | 0 | * | Out
Risk Variable Pulmonary Hypertension | Resource | 0 | * | Out
Variable Calculated Gestational Age | Resource | 0 | * | Out
SDE Payer | Resource | 0 | * | Out
Risk Variable Thyrotoxicosis | Resource | 0 | * | Out
Risk Variable Other Preeclampsia | Resource | 0 | * | Out
Initial Population | Resource | 0 | * | Out
Risk Variable Economic Housing Instability | Resource | 0 | * | Out
Risk Variable Placental Abruption | Resource | 0 | * | Out
Denominator Exclusion | Resource | 0 | * | Out
Risk Variable HIV | Resource | 0 | * | Out
Risk Variable Morbid Obesity | Resource | 0 | * | Out
Risk Variable Preexisting Diabetes | Resource | 0 | * | Out
Risk Variable Heart Rate | Resource | 0 | 1 | Out
Risk Variable Mental Health Disorder | Resource | 0 | * | Out
Risk Variable Obstetrical VTE | Resource | 0 | * | Out
Risk Variable Autoimmune Disease | Resource | 0 | * | Out
Risk Variable Bariatric Surgery | Resource | 0 | * | Out
Risk Variable Previous Cesarean | Resource | 0 | * | Out
SDE Race | Resource | 0 | 1 | Out
Risk Variable Placenta Previa | Resource | 0 | * | Out
SDE Sex | Coding | 0 | 1 | Out
Risk Variable Gestational Diabetes | Resource | 0 | * | Out
Numerator | Resource | 0 | * | Out
Stratum 1 | Resource | 0 | * | Out
Risk Variable Bleeding Disorder | Resource | 0 | * | Out
Risk Variable Multiple Pregnancy | Resource | 0 | * | Out
Risk Variable First White Blood Cell Count Lab Test | Resource | 0 | 1 | Out
Denominator | Resource | 0 | * | Out
Risk Variable First Hematocrit Lab Test | Resource | 0 | 1 | Out
SDE Ethnicity | Resource | 0 | 1 | Out
Risk Variable Anemia | Resource | 0 | * | Out
Risk Variable Severe Preeclampsia | Resource | 0 | * | Out
Risk Variable Cardiac Disease | Resource | 0 | * | Out
Risk Variable Long Term Anticoagulant Use | Resource | 0 | * | Out
Data Requirements: |
Type | Profile | MS | Code Filter
--- | --- | --- | ---
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient |  |
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369
Procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | ;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59
Encounter | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | ;;;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient |  |
Patient | http://hl7.org/fhir/Patient | ;;;; |
Observation | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation | ;;;;; | code filter: path: code system: http://loinc.org code: 93857-1 display: Date and time of obstetric delivery
Observation | http://hl7.org/fhir/Observation | ; |
Observation | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation | ;;;;; | code filter: path: code system: http://loinc.org code: 11778-8 display: Delivery date Estimated
Observation | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation | ;;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26
Condition | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition | ;; |
uri | http://hl7.org/fhir/uri | ; |
string | http://hl7.org/fhir/string | ; |
Observation | http://hl7.org/fhir/StructureDefinition/bp | ;;;; |
| http://hl7.org/fhir/Observation.Component | ; |
Condition | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition | ;; |
Reference | http://hl7.org/fhir/Reference | ;; |
Coverage | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage | ;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | ;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379
Observation | http://hl7.org/fhir/StructureDefinition/heartrate | ;;;; |
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient |  |
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |
Procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | ;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256
Procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | ;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213
Observation | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | ;;;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129
Observation | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | ;;;;;; | code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |
Coverage | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage | ;; | code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |
Patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | ;; |