Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build

Draft dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.1.0 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-2025/ and changes regularly. See the Directory of published versions

Library: Library

Official URL: https://madie.cms.gov/Measure/CMS135FHIRACEIorARBorARNIforHF#effective-data-requirements Version: 1.1.000
Active Responsible: American Heart Association Computable Name: EffectiveDataRequirements
Metadata
Type module-definition from http://terminology.hl7.org/CodeSystem/library-type
Dependency Description: USQualityCore model information
Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Dependency Description: USCore model information
Resource: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived
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: SupplementalDataElementsversion: null6.1.000)
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000
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 USCommon
Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
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 AHA
Resource: AHAOverallversion: null5.1.000)
Canonical URL: https://madie.cms.gov/Library/AHAOverall|5.1.000
Dependency Description: Library USQualityCoreCommon
Resource: US Quality Core Commonversion: null0.1.0-cibuild)
Canonical URL: https://madie.cms.gov/Library/USQualityCoreCommon|0.1.0-cibuild
Dependency Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
Dependency Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical
Dependency Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status
Dependency Description: Code system TaskCodeSystem
Resource: Task Codes
Canonical URL: http://hl7.org/fhir/CodeSystem/task-code
Dependency Description: Code system AllergyIntoleranceVerificationStatusCodes
Resource: AllergyIntolerance Verification Status
Canonical URL: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
Dependency Description: Value set ACE Inhibitor or ARB or ARNI
Resource: ACE Inhibitor or ARB or ARNI
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1139
Dependency Description: Value set Care Services in Long Term Residential Facility
Resource: Care Services in Long Term Residential Facility
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
Dependency 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
Dependency Description: Value set Nursing Facility Visit
Resource: Nursing Facility Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
Dependency 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
Dependency Description: Value set Outpatient Consultation
Resource: Outpatient Consultation
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008
Dependency Description: Value set Heart Failure
Resource: Heart Failure
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376
Dependency Description: Value set Ejection Fraction
Resource: Ejection Fraction
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1134
Dependency Description: Value set Moderate or Severe LVSD
Resource: Moderate or Severe LVSD
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1090
Dependency Description: Value set Moderate or Severe
Resource: Moderate or Severe
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1092
Dependency Description: Value set Patient Provider Interaction
Resource: Patient Provider Interaction
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1012
Dependency Description: Value set Payer Type
Resource: Payer Type
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Dependency Description: Value set Heart Transplant
Resource: Heart Transplant
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.33
Dependency Description: Value set Heart Transplant Complications
Resource: Heart Transplant Complications
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.56
Dependency Description: Value set Left Ventricular Assist Device Placement
Resource: Left Ventricular Assist Device Placement
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.61
Dependency Description: Value set Left Ventricular Assist Device Complications
Resource: Left Ventricular Assist Device Complications
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.58
Dependency Description: Value set Medical Reason
Resource: Medical Reason
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007
Dependency Description: Value set Patient Reason
Resource: Patient Reason
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008
Dependency Description: Value set Patient Reason for ACE Inhibitor or ARB Decline
Resource: Patient Reason for ACE Inhibitor or ARB Decline
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1140
Dependency Description: Value set ACE Inhibitor or ARB or ARNI Ingredient
Resource: ACE Inhibitor or ARB or ARNI Ingredient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1489
Dependency Description: Value set Allergy to ACE Inhibitor or ARB
Resource: Allergy to ACE Inhibitor or ARB
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1211
Dependency Description: Value set Intolerance to ACE Inhibitor or ARB
Resource: Intolerance to ACE Inhibitor or ARB
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1212
Dependency Description: Value set Pregnancy
Resource: Pregnancy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.378
Data Requirement Type: Patient
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient
Must Support Elements: ombCategory, detailed, text
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Care Services in Long Term Residential Facility
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Home Healthcare Services
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Nursing Facility Visit
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Outpatient Consultation
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: status, period, id
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, id
Code Filter(s):
Path: type
ValueSet: Patient Provider Interaction
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: birthDate
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: abatement, onset, recordedDate, clinicalStatus, verificationStatus
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Heart Failure
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, severity
Code Filter(s):
Path: code
Code(s): SNOMED CT: 134401001 (Left ventricular systolic dysfunction (disorder))
Path: severity
ValueSet: Moderate or Severe
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Moderate or Severe LVSD
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, recordedDate
Code Filter(s):
Path: code
ValueSet: Heart Transplant Complications
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, recordedDate
Code Filter(s):
Path: code
ValueSet: Left Ventricular Assist Device Complications
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Allergy to ACE Inhibitor or ARB
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Intolerance to ACE Inhibitor or ARB
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Pregnancy
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 422593004 (Acute renal failure caused by angiotensin-converting-enzyme inhibitor (disorder))
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result
Must Support Elements: code, value, status
Code Filter(s):
Path: code
ValueSet: Ejection Fraction
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest
Must Support Elements: authoredOn, timing, repeat, bounds, status, intent
Data Requirement Type: MedicationRequest
Profile(s): MedicationRequest
Must Support Elements: medication, timing, repeat, bounds
Code Filter(s):
Path: medication
ValueSet: ACE Inhibitor or ARB or ARNI
Data Requirement Type: Task
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-taskrejected
Must Support Elements: focus, code
Data Requirement Type: Coverage
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Heart Transplant
Path: status
Code(s): [not stated]: completed (completed)
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Left Ventricular Assist Device Placement
Path: status
Code(s): [not stated]: completed (completed)
Data Requirement Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: authoredOn, status, intent
Data Requirement Type: MedicationRequest
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
Must Support Elements: medication, reasonCode
Code Filter(s):
Path: medication
ValueSet: ACE Inhibitor or ARB or ARNI
Data Requirement Type: AllergyIntolerance
Profile(s): AllergyIntolerance
Must Support Elements: verificationStatus, onset, lastOccurrence
Data Requirement Type: AllergyIntolerance
Profile(s): AllergyIntolerance
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: ACE Inhibitor or ARB or ARNI Ingredient
Data Requirement Type: AllergyIntolerance
Profile(s): AllergyIntolerance
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 372733002 (Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance))
Data Requirement Type: AllergyIntolerance
Profile(s): AllergyIntolerance
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 372913009 (Substance with angiotensin II receptor antagonist mechanism of action (substance))
Data Requirement Type: AllergyIntolerance
Profile(s): AllergyIntolerance
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 786886009 (Substance with neprilysin inhibitor mechanism of action (substance))
Data Requirement Type: Observation
Profile(s): US Core Observation Pregnancy Status Profile
Must Support Elements: effective, value, status
Code Filter(s):
Path: value
ValueSet: Pregnancy
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
SDE Sex Out 0..1 Coding
Numerator Out 0..1 boolean
Denominator Out 0..1 boolean
SDE Payer Out 0..* Resource
Initial Population Out 0..1 boolean
SDE Ethnicity Out 0..1 Resource
Denominator Exclusions Out 0..1 boolean
SDE Race Out 0..1 Resource
Denominator Exceptions Out 0..1 boolean
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