Quality Measure Implementation Guide
2.0.0 - STU 2 International flag

Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

Library: Library

Official URL: http://hl7.org/fhir/uv/cqm/Measure/EXM108-FHIR#effective-data-requirements Version: 2.0.0
Standards status: Informative Computable Name: EffectiveDataRequirements
Metadata
Type http://terminology.hl7.org/CodeSystem/library-type#module-definition
Data Requirement Type: Patient
Profile(s): Patient version: 4.0.1
Must Support Elements: url, extension, value
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, status, period, condition, condition.reference, location
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient version: 20200307
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, condition, condition.reference, location
Code Filter(s):
Path: type
ValueSet: Observation Services version: 20210611
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, condition, condition.reference, location
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit version: 20210611
Data Requirement Type: Condition
Profile(s): Condition version: 4.0.1
Must Support Elements: id, code
Data Requirement Type: Condition
Profile(s): Condition version: 4.0.1
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Atrial Fibrillation or Flutter version: 20210220
Data Requirement Type: Condition
Profile(s): Condition version: 4.0.1
Must Support Elements: code, clinicalStatus, onset
Code Filter(s):
Path: code
ValueSet: Venous Thromboembolism version: 20210220
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, status, effective, dosage, dosage.route, id
Code Filter(s):
Path: medication
ValueSet: Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment version: 20220212
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, dosage, dosage.route, status, id, effective
Code Filter(s):
Path: medication
ValueSet: Unfractionated Heparin version: 20210220
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, dosage, dosage.route, status, id, effective
Code Filter(s):
Path: medication
ValueSet: Direct Thrombin Inhibitor version: 20230118
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, dosage, dosage.route, status, id, effective
Code Filter(s):
Path: medication
ValueSet: Glycoprotein IIb IIIa Inhibitors version: 20230117
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication.reference, dosage, dosage.route, status, id, effective
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, status, dosage, dosage.route, id, effective
Code Filter(s):
Path: medication
ValueSet: Low Dose Unfractionated Heparin for VTE Prophylaxis version: 20210220
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, status, dosage, dosage.route, id, effective
Code Filter(s):
Path: medication
ValueSet: Low Molecular Weight Heparin for VTE Prophylaxis version: 20230117
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, status, dosage, dosage.route, id, effective
Code Filter(s):
Path: medication
ValueSet: Injectable Factor Xa Inhibitor for VTE Prophylaxis version: 20210220
Data Requirement Type: MedicationAdministration
Profile(s): MedicationAdministration version: 4.0.1
Must Support Elements: medication, status, dosage, dosage.route, id, effective
Code Filter(s):
Path: medication
ValueSet: Warfarin version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, usedCode, performed, id, statusReason
Code Filter(s):
Path: code
ValueSet: Device Application version: 20191029
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: General Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Gynecological Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Hip Fracture Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Hip Replacement Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Intracranial Neurosurgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Knee Replacement Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Urological Surgery version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Comfort Measures version: 20210220
Data Requirement Type: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: General or Neuraxial Anesthesia version: 20210220
Data Requirement Type: Observation
Profile(s): Observation version: 4.0.1
Must Support Elements: code, value, status, effective
Code Filter(s):
Path: code
Code(s): LOINC: 72136-5 (Risk for venous thromboembolism)
Data Requirement Type: Observation
Profile(s): Observation version: 4.0.1
Must Support Elements: code, value, status, id, issued, effective
Code Filter(s):
Path: code
ValueSet: INR version: 20210220
Data Requirement Type: Medication
Profile(s): Medication version: 4.0.1
Must Support Elements: id, code
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication, doNotPerform, status
Code Filter(s):
Path: medication
ValueSet: Low Dose Unfractionated Heparin for VTE Prophylaxis version: 20210220
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication, doNotPerform, status
Code Filter(s):
Path: medication
ValueSet: Low Molecular Weight Heparin for VTE Prophylaxis version: 20230117
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication, doNotPerform, status
Code Filter(s):
Path: medication
ValueSet: Injectable Factor Xa Inhibitor for VTE Prophylaxis version: 20210220
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication, doNotPerform, status
Code Filter(s):
Path: medication
ValueSet: Warfarin version: 20210220
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest version: 4.0.1
Must Support Elements: code, status, doNotPerform, id, authoredOn
Code Filter(s):
Path: code
ValueSet: Venous foot pumps version: 20210220
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest version: 4.0.1
Must Support Elements: code, status, doNotPerform, id, authoredOn
Code Filter(s):
Path: code
ValueSet: Intermittent pneumatic compression devices version: 20230117
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest version: 4.0.1
Must Support Elements: code, status, doNotPerform, id, authoredOn
Code Filter(s):
Path: code
ValueSet: Graduated compression stockings version: 20220219
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest version: 4.0.1
Must Support Elements: code, intent, status, doNotPerform, id, authoredOn
Code Filter(s):
Path: code
ValueSet: Comfort Measures version: 20210220
Data Requirement Type: Coverage
Profile(s): Coverage version: 4.0.1
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type version: 20221118
Data Requirement Type: Location
Profile(s): Location version: 4.0.1
Must Support Elements: id
Data Requirement Type: Claim
Profile(s): Claim version: 4.0.1
Must Support Elements: status, use, item
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
SDE Sex Out 0..1 Coding
Numerator Out 0..* Encounter
Denominator Out 0..* Encounter
SDE Payer Out 0..* Resource
Initial Population Out 0..* Encounter
SDE Ethnicity Out 0..* Coding
Denominator Exclusion Out 0..* Resource
SDE Race Out 0..* Coding
Citations and References
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 SDE
Resource: Supplemental Data Elements version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.0
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 Global
Resource: MAT Global Common Functions FHIR Library version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|2.0.0
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: Library TJC
Resource: TJC Overall Library version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/TJCOverall|2.0.0
Dependency Description: Library VTEICU
Resource: VTE ICU Library version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/VTEICU|2.0.0
Dependency Description: Library EXMCommon
Resource: EXMCommon version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/EXMCommon|2.0.0
Dependency Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes version: 3.0.0
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0
Dependency Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC)
Canonical URL: http://loinc.org
Dependency Description: Code system Diagnosis Type
Resource: Example Diagnosis Type Codes version: 1.0.1
Canonical URL: http://terminology.hl7.org/CodeSystem/ex-diagnosistype|1.0.1
Dependency Description: Code system Procedure Type
Resource: Example Procedure Type Codes version: 1.0.1
Canonical URL: http://terminology.hl7.org/CodeSystem/ex-procedure-type|1.0.1
Dependency Description: Value set Encounter Inpatient
Resource: Encounter Inpatient version: 20200307
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20200307
Dependency Description: Value set Obstetrics
Resource: Obstetrical or Pregnancy Related Conditions version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.263|20210220
Dependency Description: Value set Venous Thromboembolism
Resource: Venous Thromboembolism version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.279|20210220
Dependency Description: Value set Obstetrics VTE
Resource: Obstetrics VTE version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.264|20210220
Dependency Description: Value set Low Dose Unfractionated Heparin for VTE Prophylaxis
Resource: Low Dose Unfractionated Heparin for VTE Prophylaxis version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39|20210220
Dependency Description: Value set Subcutaneous route
Resource: Subcutaneous route version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.223|20210220
Dependency Description: Value set Low Molecular Weight Heparin for VTE Prophylaxis
Resource: Low Molecular Weight Heparin for VTE Prophylaxis version: 20230117
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.219|20230117
Dependency Description: Value set Injectable Factor Xa Inhibitor for VTE Prophylaxis
Resource: Injectable Factor Xa Inhibitor for VTE Prophylaxis version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.211|20210220
Dependency Description: Value set Warfarin
Resource: Warfarin version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.232|20210220
Dependency Description: Value set Device Application
Resource: Device Application version: 20191029
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.48|20191029
Dependency Description: Value set Intermittent pneumatic compression devices (IPC)
Resource: Intermittent pneumatic compression devices version: 20230117
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.214|20230117
Dependency Description: Value set Venous foot pumps (VFP)
Resource: Venous foot pumps version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.230|20210220
Dependency Description: Value set Graduated compression stockings (GCS)
Resource: Graduated compression stockings version: 20220219
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.256|20220219
Dependency Description: Value set General or Neuraxial Anesthesia
Resource: General or Neuraxial Anesthesia version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.1743|20210220
Dependency Description: Value set Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment
Resource: Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment version: 20220212
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.134|20220212
Dependency Description: Value set Atrial Fibrillation/Flutter
Resource: Atrial Fibrillation or Flutter version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.202|20210220
Dependency Description: Value set Hip Replacement Surgery
Resource: Hip Replacement Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.259|20210220
Dependency Description: Value set Knee Replacement Surgery
Resource: Knee Replacement Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.261|20210220
Dependency Description: Value set Low Risk
Resource: Low Risk version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.400|20210220
Dependency Description: Value set INR
Resource: INR version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.213|20210220
Dependency Description: Value set Unfractionated Heparin
Resource: Unfractionated Heparin version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.218|20210220
Dependency Description: Value set Intravenous route
Resource: Intravenous route version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.222|20210220
Dependency Description: Value set Direct Thrombin Inhibitor
Resource: Direct Thrombin Inhibitor version: 20230118
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.205|20230118
Dependency Description: Value set Glycoprotein IIb/IIIa Inhibitors
Resource: Glycoprotein IIb IIIa Inhibitors version: 20230117
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.41|20230117
Dependency Description: Value set Observation Services
Resource: Observation Services version: 20210611
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143|20210611
Dependency Description: Value set Emergency Department Visit
Resource: Emergency Department Visit version: 20210611
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292|20210611
Dependency Description: Value set Medical Reason
Resource: Medical Reason For Not Providing Treatment version: 20220212
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473|20220212
Dependency Description: Value set Patient Refusal
Resource: Patient Refusal version: 20230117
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93|20230117
Dependency Description: Value set Payer
Resource: Payer Type version: 20221118
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20221118
Dependency Description: Value set Intensive Care Unit
Resource: Intensive Care Unit version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.23|20210220
Dependency Description: Value set Mental Health Diagnoses
Resource: Mental Health Diagnoses version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1004|20210220
Dependency Description: Value set Hemorrhagic Stroke
Resource: Hemorrhagic Stroke version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212|20210220
Dependency Description: Value set Ischemic Stroke
Resource: Ischemic Stroke version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247|20210220
Dependency Description: Value set General Surgery
Resource: General Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.255|20210220
Dependency Description: Value set Gynecological Surgery
Resource: Gynecological Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.257|20210220
Dependency Description: Value set Hip Fracture Surgery
Resource: Hip Fracture Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.258|20210220
Dependency Description: Value set Intracranial Neurosurgery
Resource: Intracranial Neurosurgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.260|20210220
Dependency Description: Value set Urological Surgery
Resource: Urological Surgery version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.272|20210220
Dependency Description: Value set Comfort Measures
Resource: Comfort Measures version: 20210220
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45|20210220
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