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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