CMS Draft FHIR Measures
2024.1.0 - CI Build
CMS Draft FHIR Measures, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2024/ and changes regularly. See the Directory of published versions
| Official URL: https://madie.cms.gov/Measure/ControllingHighBloodPressureFHIR | Version: 0.1.000 | |||
| Draft as of 2026-03-13 | Responsible: National Committee for Quality Assurance | Computable Name: ControllingHighBloodPressureFHIR | ||
| Other Identifiers: Short Name (use: usual, ), UUID:9017d914-6748-45a9-bff1-8392ed644a7b (use: official, ), UUID:f573fb8f-4907-4ed7-bc04-09d9a3f36268 (use: official, ), Publisher (use: official, ) | ||||
Copyright/Legal: This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. Some measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product. “HL7” is the registered trademark of Health Level Seven International. |
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Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period
UNKNOWN
| Metadata | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Title | Controlling High Blood PressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Version | 0.1.000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Short Name | CMS165FHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GUID (Version Independent) | urn:uuid:9017d914-6748-45a9-bff1-8392ed644a7b | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GUID (Version Specific) | urn:uuid:f573fb8f-4907-4ed7-bc04-09d9a3f36268 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CMS Identifier | 165FHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Effective Period | 2025-01-01 through 2025-12-31 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Status | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Steward (Publisher) | National Committee for Quality Assurance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Developer | National Committee for Quality Assurance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Description | Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period |
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| Copyright | This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. Some measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product. “HL7” is the registered trademark of Health Level Seven International. |
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| Disclaimer | The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]. |
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| Measure Scoring | Proportion | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Rationale | High blood pressure (HBP), also known as hypertension, is when the pressure in blood vessels is higher than normal (Centers for Disease Control and Prevention [CDC], 2023). The causes of hypertension are multiple and multifaceted and can be based on genetic predisposition, environmental risk factors, being overweight and obese, sodium intake, potassium intake, physical activity, and alcohol use. High blood pressure is common; according to the American Heart Association, between 2013-2016, approximately 121.5 million US adults >= 20 years of age had HBP and the prevalence of hypertension among US adults 65 and older was 77.0 percent (Virani et al., 2021). In an analysis of adults with hypertension in National Health and Nutrition Examination Survey (NHANES), the estimated age-adjusted proportion with controlled blood pressure (BP) increased from 31.8 percent in 1999 to 53.8 percent in 2014. However, that proportion declined to 43.7 percent in 2017 to 2018 (Tsao et al., 2022). HBP increases risks of heart disease and stroke which are two of the leading causes of death in the US (CDC, 2023). A person who has HBP is four times more likely to die from a stroke and three times more likely to die from heart disease (CDC, 2021). The National Center for Health Statistics reported that in 2020 there were over 670,000 deaths with HBP as a primary or contributing cause (CDC, 2022). Between 2009 and 2019 the number of deaths due to HBP rose by 65.3 percent (Tsao et al., 2022). Managing and treating HBP would reduce cardiovascular disease mortality for males and females by 30.4 percent and 38.0 percent, respectively (Patel et al., 2015). Age-adjusted death rates attributable to HBP in 2019 were more than twice as high in non-Hispanic Black males (56.7 percent) when compared to rates for non-Hispanic White males (25.7 percent) (Tsao et al., 2022). HBP costs the U.S. approximately 131 billion dollars each year, averaged over 12 years from 2003 to 2014 (Kirkland et al., 2018). A study on cost-effectiveness on treating hypertension found that controlling HBP in patients with cardiovascular disease and systolic blood pressures (SBP) of >= 160 mmHg could be effective and cost-saving (Moran et al., 2015). Many studies have shown that controlling high blood pressure reduces cardiovascular events and mortality. The Systolic Blood Pressure Intervention Trial (SPRINT) investigated the impact of obtaining a SBP goal of <120 mmHg compared to a SBP goal of <140 mmHg among patients 50 and older with established cardiovascular disease and found that the patients with the former goal had reduced cardiovascular events and mortality (SPRINT Research Group et al., 2015). Controlling HBP will significantly reduce the risks of cardiovascular disease mortality and lead to better health outcomes like reduction of heart attacks, stroke, and kidney disease (James et al., 2014). Thus, the relationship between the measure (control of hypertension) and the long-term clinical outcomes listed is well established. |
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| Clinical Recommendation Statement | U.S. Preventive Services Task Force (USPSTF) (2021):
American College of Cardiology/American Heart Association (2017):
American Academy of Family Physicians (2022):
American Diabetes Association (2022):
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| Guidance (Usage) | In reference to the numerator element, only blood pressure readings performed by a clinician or an automated blood pressure monitor or device are acceptable for numerator compliance with this measure. This includes blood pressures taken in person by a clinician and blood pressures measured remotely by electronic monitoring devices capable of transmitting the blood pressure data to the clinician. Blood pressure readings taken by an automated blood pressure monitor or device and conveyed by the patient to the clinician are also acceptable. It is the clinician’s responsibility and discretion to confirm the automated blood pressure monitor or device used to obtain the blood pressure is considered acceptable and reliable and whether the blood pressure reading is considered accurate before documenting it in the patient’s medical record. Do not include BP readings taken during an acute inpatient stay or an emergency department (ED) visit. If no blood pressure is recorded during the measurement period, the patient's blood pressure is assumed "not controlled". If there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. Ranges and thresholds do not meet criteria for this measure. A distinct numeric result for both the systolic and diastolic BP reading is required for numerator compliance. This eCQM is a patient-based measure. This FHIR-based measure has been derived from the QDM-based measure: CMS165v13. Please refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Measure Group (Rate) (ID: 650b4f94da013638e7b3dd9a) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Basis | boolean | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Scoring | Proportion | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Improvement Notation | increase | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Outcome | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Rate Aggregation | None | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Initial Population |
ID: DB8494F3-F2F2-4493-A9F6-8793D5F77F41
Description: Patients 18-85 years of age by the end of the measurement period who had a visit during the measurement period and diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period Criteria: Initial Population |
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| Denominator |
ID: 47151B22-36FA-413F-8F3A-665071CB2E83
Description: Equals Initial Population Criteria: Denominator |
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| Denominator Exclusion |
ID: cc61a60b-d556-4368-9651-a1577003ae68
Description: Exclude patients who are in hospice care for any part of the measurement period. Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period. Also exclude patients with a diagnosis of pregnancy during the measurement period. Exclude patients 66-80 by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria: - Advanced illness diagnosis during the measurement period or the year prior - OR taking dementia medications during the measurement period or the year prior Exclude patients 81 and older by the end of the measurement period with an indication of frailty for any part of the measurement period. Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period. Exclude patients receiving palliative care for any part of the measurement period. Criteria: Denominator Exclusions |
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| Numerator |
ID: D4F113F9-F280-45AC-ACDA-88CD87C42EB6
Description: Patients whose most recent blood pressure is adequately controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period Criteria: Numerator |
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| Stratifier | ID: 863b910a-a4b5-4493-8e8e-3c94a4560d7b | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stratifier | ID: 33cce73e-b08d-4304-b3c6-f25eb0da594b | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Supplemental Data Elements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Supplemental Data Element |
ID: sde-sex
Usage Code: Supplemental Data Description: SDE Sex Logic Definition: SDE Sex |
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| Supplemental Data Element |
ID: sde-race
Usage Code: Supplemental Data Description: SDE Race Logic Definition: SDE Race |
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| Supplemental Data Element |
ID: sde-payer
Usage Code: Supplemental Data Description: SDE Payer Logic Definition: SDE Payer |
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| Supplemental Data Element |
ID: sde-ethnicity
Usage Code: Supplemental Data Description: SDE Ethnicity Logic Definition: SDE Ethnicity |
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| Measure Logic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary Library | Controlling High Blood Pressure FHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contents |
Population Criteria
Logic Definitions Terminology Dependencies Data Requirements Parameters |
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| Population Criteria | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Measure Group (Rate) (ID: 650b4f94da013638e7b3dd9a) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Initial Population | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Definition
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| Denominator | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Definition
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| Denominator Exclusion | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Definition
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| Numerator | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Definition
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| Logic Definitions | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Logic Definition | Library Name: AdultOutpatientEncounters | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Hospice | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: AdvancedIllnessandFrailty | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: AdvancedIllnessandFrailty | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: AdvancedIllnessandFrailty | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: AdvancedIllnessandFrailty | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: AdvancedIllnessandFrailty | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: PalliativeCare | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: SupplementalDataElements | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: SupplementalDataElements | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: SupplementalDataElements | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: SupplementalDataElements | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: ControllingHighBloodPressureFHIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: FHIRHelpers | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: FHIRHelpers | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: FHIRHelpers | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: FHIRHelpers | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: QICoreCommon | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: QICoreCommon | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: QICoreCommon | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: QICoreCommon | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: QICoreCommon | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: CumulativeMedicationDuration | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: CumulativeMedicationDuration | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Logic Definition | Library Name: CumulativeMedicationDuration | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Terminology | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Code System |
Description: Code system AdministrativeGender
Resource: AdministrativeGender Canonical URL: http://hl7.org/fhir/administrative-gender |
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| Code System |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
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| Code System |
Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Code System |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
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| Code System |
Description: Code system ObservationCategoryCodes
Resource: Observation Category Codes Canonical URL: http://terminology.hl7.org/CodeSystem/observation-category |
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| Value Set |
Description: Value set Essential Hypertension
Resource: Essential Hypertension Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1011 |
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| Value Set |
Description: Value set Office Visit
Resource: Office Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 |
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| Value Set |
Description: Value set Annual Wellness Visit
Resource: Annual Wellness Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240 |
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| Value Set |
Description: Value set Preventive Care Services Established Office Visit, 18 and Up
Resource: Preventive Care Services - Established Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025 |
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| Value Set |
Description: Value set Preventive Care Services Initial Office Visit, 18 and Up
Resource: Preventive Care Services-Initial Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023 |
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| Value Set |
Description: Value set Home Healthcare Services
Resource: Home Healthcare Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016 |
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| Value Set |
Description: Value set Virtual Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 |
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| Value Set |
Description: Value set Telephone Visits
Resource: Telephone Visits Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080 |
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| Value Set |
Description: Value set Payer Type
Resource: Payer Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 |
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| Value Set |
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 |
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| Value Set |
Description: Value set Hospice Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 |
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| Value Set |
Description: Value set Hospice Care Ambulatory
Resource: Hospice Care Ambulatory Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 |
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| Value Set |
Description: Value set Hospice Diagnosis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 |
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| Value Set |
Description: Value set Pregnancy
Resource: Pregnancy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.378 |
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| Value Set |
Description: Value set End Stage Renal Disease
Resource: End Stage Renal Disease Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353 |
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| Value Set |
Description: Value set Kidney Transplant Recipient
Resource: Kidney Transplant Recipient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1029 |
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| Value Set |
Description: Value set Chronic Kidney Disease, Stage 5
Resource: Chronic Kidney Disease, Stage 5 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1002 |
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| Value Set |
Description: Value set Kidney Transplant
Resource: Kidney Transplant Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1012 |
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| Value Set |
Description: Value set Dialysis Services
Resource: Dialysis Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1013 |
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| Value Set |
Description: Value set ESRD Monthly Outpatient Services
Resource: ESRD Monthly Outpatient Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1014 |
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| Value Set |
Description: Value set Frailty Device
Resource: Frailty Device Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300 |
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| Value Set |
Description: Value set Frailty Diagnosis
Resource: Frailty Diagnosis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074 |
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| Value Set |
Description: Value set Frailty Encounter
Resource: Frailty Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088 |
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| Value Set |
Description: Value set Frailty Symptom
Resource: Frailty Symptom Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075 |
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| Value Set |
Description: Value set Advanced Illness
Resource: Advanced Illness Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082 |
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| Value Set |
Description: Value set Dementia Medications
Resource: Dementia Medications Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510 |
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| Value Set |
Description: Value set Palliative Care Diagnosis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167 |
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| Value Set |
Description: Value set Palliative Care Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 |
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| Value Set |
Description: Value set Palliative Care Intervention
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 |
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| Direct Reference Code |
Display: Male
Code: M System: http://hl7.org/fhir/administrative-gender |
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| Direct Reference Code |
Display: Female
Code: F System: http://hl7.org/fhir/administrative-gender |
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| Direct Reference Code |
Display: Systolic blood pressure
Code: 8480-6 System: http://loinc.org |
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| Direct Reference Code |
Display: Diastolic blood pressure
Code: 8462-4 System: http://loinc.org |
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| Direct Reference Code |
Display: Active
Code: active System: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Direct Reference Code |
Display: Recurrence
Code: recurrence System: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Direct Reference Code |
Display: Relapse
Code: relapse System: http://terminology.hl7.org/CodeSystem/condition-clinical |
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| Direct Reference Code |
Display: Discharge to home for hospice care (procedure)
Code: 428361000124107 System: http://snomed.info/sct |
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| Direct Reference Code |
Display: Discharge to healthcare facility for hospice care (procedure)
Code: 428371000124100 System: http://snomed.info/sct |
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| Direct Reference Code |
Display: survey
Code: survey System: http://terminology.hl7.org/CodeSystem/observation-category |
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| Direct Reference Code |
Display: Yes (qualifier value)
Code: 373066001 System: http://snomed.info/sct |
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| Direct Reference Code |
Display: Hospice care [Minimum Data Set]
Code: 45755-6 System: http://loinc.org |
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| Direct Reference Code |
Display: Medical equipment used
Code: 98181-1 System: http://loinc.org |
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| Direct Reference Code |
Display: Housing status
Code: 71802-3 System: http://loinc.org |
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| Direct Reference Code |
Display: Lives in a nursing home (finding)
Code: 160734000 System: http://snomed.info/sct |
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| Direct Reference Code |
Display: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)
Code: 71007-9 System: http://loinc.org |
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| Dependencies | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: QICore model information
Resource: http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo|4.1.1 Canonical URL: http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo|4.1.1 |
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| Dependency |
Description: Library SDE
Resource: SupplementalDataElementsversion: null3.5.000) Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|3.5.000 |
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| Dependency |
Description: Library Status
Resource: Statusversion: null1.8.000) Canonical URL: https://madie.cms.gov/Library/Status|1.8.000 |
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| Dependency |
Description: Library FHIRHelpers
Resource: FHIRHelpersversion: null4.4.000) Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000 |
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| Dependency |
Description: Library QICoreCommon
Resource: QICoreCommonversion: null2.1.000) Canonical URL: https://madie.cms.gov/Library/QICoreCommon|2.1.000 |
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| Dependency |
Description: Library AdultOutpatientEncounters
Resource: AdultOutpatientEncountersversion: null4.11.000) Canonical URL: https://madie.cms.gov/Library/AdultOutpatientEncounters|4.11.000 |
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| Dependency |
Description: Library Hospice
Resource: Hospiceversion: null6.12.000) Canonical URL: https://madie.cms.gov/Library/Hospice|6.12.000 |
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| Dependency |
Description: Library AIFrailLTCF
Resource: AdvancedIllnessandFrailtyversion: null1.16.000) Canonical URL: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.16.000 |
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| Dependency |
Description: Library CMD
Resource: CumulativeMedicationDurationversion: null4.1.000) Canonical URL: https://madie.cms.gov/Library/CumulativeMedicationDuration|4.1.000 |
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| Dependency |
Description: Library PalliativeCare
Resource: PalliativeCareversion: null1.11.000) Canonical URL: https://madie.cms.gov/Library/PalliativeCare|1.11.000 |
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| Data Requirements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Data Requirement |
Type: Patient
Profile(s): QICorePatient Must Support Elements: ethnicity, race |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: id, id.value, status, status.value, period |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Office Visit |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Annual Wellness Visit |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care Services - Established Office Visit, 18 and Up |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care Services-Initial Office Visit, 18 and Up |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Home Healthcare Services |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Telephone Visits |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value Code Filter(s): Path: type ValueSet: Encounter Inpatient |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: ESRD Monthly Outpatient Services |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: Frailty Encounter |
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| Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 |
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| Data Requirement |
Type: Observation
Profile(s): Observation Blood Pressure Profile Must Support Elements: encounter, encounter.class, encounter.class.code, effective, status, status.value, component |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Essential Hypertension |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Pregnancy |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: End Stage Renal Disease |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Kidney Transplant Recipient |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Chronic Kidney Disease, Stage 5 |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Frailty Diagnosis |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: Advanced Illness |
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| Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167 |
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| Data Requirement |
Type: Coverage
Profile(s): QICoreCoverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, value, effective, status, status.value, category Code Filter(s): Path: code Code(s): LOINC: 45755-6 (Hospice care [Minimum Data Set]) Path: value |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, value, effective, status, status.value, category Code Filter(s): Path: code Code(s): LOINC: 98181-1 (Medical equipment used) Path: value ValueSet: Frailty Device |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, effective, status, status.value, category Code Filter(s): Path: code ValueSet: Frailty Symptom |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, effective, status, status.value, category Code Filter(s): Path: code Code(s): LOINC: 71802-3 (Housing status) |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, effective, value, status, status.value, category Code Filter(s): Path: code Code(s): LOINC: 71802-3 (Housing status) Path: value |
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| Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, effective, status, status.value, category Code Filter(s): Path: code Code(s): LOINC: 71007-9 (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)) |
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| Data Requirement |
Type: ServiceRequest
Profile(s): QICoreServiceRequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
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| Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
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| Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Kidney Transplant |
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| Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Dialysis Services |
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| Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 |
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| Data Requirement |
Type: DeviceRequest
Profile(s): QICoreDeviceRequest Must Support Elements: code, status, status.value, intent, intent.value, url, url.value, value, authoredOn, authoredOn.value Code Filter(s): Path: code ValueSet: Frailty Device |
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| Data Requirement |
Type: MedicationRequest
Profile(s): QICoreMedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod Code Filter(s): Path: medication ValueSet: Dementia Medications |
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| Parameters | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Generated using version 0.5.4-cibuild of the sample-content-ig Liquid templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||