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/TSCComponent#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, birthDate
Data Requirement Type: Observation
Profile(s): Observation version: 4.0.1
Must Support Elements: code, effective, value, issued, status
Code Filter(s):
Path: code
ValueSet: Tobacco Use Screening version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Tobacco Use Cessation Counseling version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
Code(s): Current Procedural Terminology (CPT®): 96158 (Health behavior intervention, individual, face-to-face; initial 30 minutes)
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
Code(s): Current Procedural Terminology (CPT®): 96156 (Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making))
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Home Healthcare Services version: 20180310
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Occupational Therapy Evaluation version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Office Visit version: 20180310
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Ophthalmological Services version: 20210209
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Physical Therapy Evaluation version: 20200306
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Psych Visit Diagnostic Evaluation version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Psych Visit Psychotherapy version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Psychoanalysis version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Speech and Hearing Evaluation version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Annual Wellness Visit version: 20190315
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Established Office Visit, 18 and Up version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Group Counseling version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Other version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Individual Counseling version: 20170504
Data Requirement Type: Encounter
Profile(s): Encounter version: 4.0.1
Must Support Elements: type, period, status
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Initial Office Visit, 18 and Up version: 20170504
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication, authoredOn, status, doNotPerform, statusReason
Code Filter(s):
Path: medication
ValueSet: Tobacco Use Cessation Pharmacotherapy version: 20170504
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest version: 4.0.1
Must Support Elements: medication.reference, authoredOn, status, doNotPerform, statusReason
Data Requirement Type: Medication
Profile(s): Medication version: 4.0.1
Must Support Elements: id, code
Data Requirement Type: Condition
Profile(s): Condition version: 4.0.1
Must Support Elements: clinicalStatus
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: Procedure
Profile(s): Procedure version: 4.0.1
Must Support Elements: code, performed, status, statusReason
Code Filter(s):
Path: code
ValueSet: Tobacco Use Cessation Counseling version: 20170504
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Numerator 3 Out 0..1 boolean
Denominator Exceptions 1 Out 0..1 boolean
Numerator 1 Out 0..1 boolean
Numerator 2 Out 0..1 boolean
SDE Race Out 0..* Coding
SDE Sex Out 0..1 Coding
Denominator 3 Out 0..1 boolean
Denominator 2 Out 0..1 boolean
SDE Payer Out 0..* Resource
Initial Population Out 0..1 boolean
SDE Ethnicity Out 0..* Coding
Denominator Exceptions 2 Out 0..1 boolean
Denominator Exceptions 3 Out 0..1 boolean
Denominator 1 Out 0..1 boolean
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 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 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 SDE
Resource: Supplemental Data Elements version: 2.0.0
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|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 CPT
Resource: Current Procedural Terminology (CPT®)
Canonical URL: http://www.ama-assn.org/go/cpt
Dependency Description: Value set Tobacco Use Screening
Resource: Tobacco Use Screening version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278|20170504
Dependency Description: Value set Tobacco Non-User
Resource: Tobacco Non User version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189|20170504
Dependency Description: Value set Tobacco User
Resource: Tobacco User version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170|20170504
Dependency Description: Value set Tobacco Use Cessation Counseling
Resource: Tobacco Use Cessation Counseling version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509|20170504
Dependency Description: Value set Tobacco Use Cessation Pharmacotherapy
Resource: Tobacco Use Cessation Pharmacotherapy version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190|20170504
Dependency Description: Value set Medical Reason
Resource: Medical Reason version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007|20170504
Dependency Description: Value set Home Healthcare Services
Resource: Home Healthcare Services version: 20180310
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016|20180310
Dependency Description: Value set Occupational Therapy Evaluation
Resource: Occupational Therapy Evaluation version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011|20190315
Dependency Description: Value set Office Visit
Resource: Office Visit version: 20180310
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001|20180310
Dependency Description: Value set Ophthalmological Services
Resource: Ophthalmological Services version: 20210209
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285|20210209
Dependency Description: Value set Physical Therapy Evaluation
Resource: Physical Therapy Evaluation version: 20200306
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022|20200306
Dependency Description: Value set Psych Visit - Diagnostic Evaluation
Resource: Psych Visit Diagnostic Evaluation version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492|20190315
Dependency Description: Value set Psych Visit - Psychotherapy
Resource: Psych Visit Psychotherapy version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496|20190315
Dependency Description: Value set Psychoanalysis
Resource: Psychoanalysis version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141|20190315
Dependency Description: Value set Speech and Hearing Evaluation
Resource: Speech and Hearing Evaluation version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530|20190315
Dependency Description: Value set Annual Wellness Visit
Resource: Annual Wellness Visit version: 20190315
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240|20190315
Dependency Description: Value set Preventive Care Services - Established Office Visit, 18 and Up
Resource: Preventive Care Services Established Office Visit, 18 and Up version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025|20170504
Dependency Description: Value set Preventive Care Services - Group Counseling
Resource: Preventive Care Services Group Counseling version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027|20170504
Dependency Description: Value set Preventive Care Services - Other
Resource: Preventive Care Services Other version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030|20170504
Dependency Description: Value set Preventive Care Services-Individual Counseling
Resource: Preventive Care Services Individual Counseling version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026|20170504
Dependency Description: Value set Preventive Care Services-Initial Office Visit, 18 and Up
Resource: Preventive Care Services Initial Office Visit, 18 and Up version: 20170504
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023|20170504
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
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