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/CMS2FHIRPCSDepScreenAndFollowUp#effective-data-requirements | Version: 1.1.000
Active | Responsible: Centers for Medicare & Medicaid Services (CMS) | 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 CMD Resource: http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0-ballot Canonical URL: `http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0-ballot`
Dependency | Description: Code system SNOMEDCT Resource: SNOMED CT (all versions) Canonical URL: `http://snomed.info/sct`
Dependency | Description: Code system LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: `http://loinc.org`
Dependency | Description: Code system ConditionClinicalStatusCodes Resource: Condition Clinical Status Codes Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Dependency | Description: Value set Encounter to Screen for Depression Resource: Encounter to Screen for Depression Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916`
Dependency | Description: Value set Physical Therapy Evaluation Resource: Physical Therapy Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022`
Dependency | 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`
Dependency | Description: Value set Adolescent Depression Medications Resource: Adolescent Depression Medications Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567`
Dependency | Description: Value set Referral for Adolescent Depression Resource: Referral for Adolescent Depression Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570`
Dependency | Description: Value set Follow Up for Adolescent Depression Resource: Follow Up for Adolescent Depression Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569`
Dependency | Description: Value set Adult Depression Medications Resource: Adult Depression Medications Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566`
Dependency | Description: Value set Referral for Adult Depression Resource: Referral for Adult Depression Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571`
Dependency | Description: Value set Follow Up for Adult Depression Resource: Follow Up for Adult Depression Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568`
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 Bipolar Disorder Resource: Bipolar Disorder Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.128`
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): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Encounter to Screen for Depression
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Physical Therapy Evaluation
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Telephone Visits
Data Requirement | Type: Patient Profile(s): Patient Must Support Elements: birthDate
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, effective, value, status Code Filter(s): Path: code Code(s): LOINC: 73831-0 (Adolescent depression screening assessment)
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, effective, value, status Code Filter(s): Path: code Code(s): LOINC: 73832-8 (Adult depression screening assessment)
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: effective, value
Data Requirement | Type: Medication Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medication` Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Adolescent Depression Medications
Data Requirement | Type: Medication Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medication` Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Adult Depression Medications
Data Requirement | Type: MedicationRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationrequest` Must Support Elements: medication, status, intent Code Filter(s): Path: medication ValueSet: Adolescent Depression Medications
Data Requirement | Type: MedicationRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationrequest` Must Support Elements: medication.reference, status, intent
Data Requirement | Type: MedicationRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationrequest` Must Support Elements: medication, status, intent Code Filter(s): Path: medication ValueSet: Adult Depression Medications
Data Requirement | Type: ServiceRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest` Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Referral for Adolescent Depression
Data Requirement | Type: ServiceRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest` Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Referral for Adult Depression
Data Requirement | Type: Procedure Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure` Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Follow Up for Adolescent Depression Path: status Code(s): [not stated]: completed (completed)
Data Requirement | Type: Procedure Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure` Must Support Elements: code, status Code Filter(s): Path: code ValueSet: Follow Up for Adult Depression Path: status Code(s): [not stated]: completed (completed)
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: Condition Profile(s): Condition Must Support Elements: abatement, onset, recordedDate, clinicalStatus
Data Requirement | Type: Condition Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns` Must Support Elements: code Code Filter(s): Path: code ValueSet: Bipolar Disorder
Parameters
Name | Use | Card. | Type | Documentation
Measurement Period | In | 0..1 | Period |
ErrorLevel | In | 0..1 | string |
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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