dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

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Official URL: https://madie.cms.gov/ImplementationGuide/cms.madie				Version: 2025.0.0
Draft as of 2025-08-25				Computable Name: DQMContentQICore

Introduction

This implementation guide is a collection of draft FHIR-based electronic Clinical Quality Measures (eCQM) that conform to the FHIR Quality Measure IG

NOTE: The measures in this implementation guide are works in progress and should not be considered final specifications or recommendations for guidance. The examples will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community.

Content

This implementation guides contains electronic Clinical Quality Measure (eCQM) specifications, published as FHIR Measure and Library resources.

For a complete listing of the Measures in this IG, refer to the Measures page.

Dependencies

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B} systems. Packages for both R4 (cms.madie.r4) and R4B (cms.madie.r4b) are available.

Global Profiles

There are no Global profiles defined

IP Statements

This publication includes IP covered under the following statements.

• ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: ECQMFHIRUpdate2025
• Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission. For information and exceptions regarding use of CDC material please see https://www.cdc.gov/other/agencymaterials.html
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  • Vaccine Administered Code Set (CVX): CMS117FHIRChildImmunStatus and ECQMFHIRUpdate2025
• Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission.For information and exceptions regarding use of CDC material please see https://www.cdc.gov/other/agencymaterials.html.
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  • CDC Race and Ethnicity: CMS1154ScreeningPrediabetesFHIR and ECQMFHIRUpdate2025
• The POA Indicator Codes are in the public domain and are free to use without restriction.
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  • CMS Present on Admission (POA) Indicator: CMS1028FHIRPCSevereOBComps, CQMCommon and ECQMFHIRUpdate2025
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: AdvancedIllnessandFrailty, AlaraCommonFunctions... Show 50 more, CMS0334FHIRPCCesareanBirth, CMS1028FHIRPCSevereOBComps, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS146FHIRApproTestPharyngitis, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS56FHIRFuncStatHipReplacement, CMS69FHIRPCSBMIScreenAndFollowUp, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality, ECQMFHIRUpdate2025, Hospice, PCMaternal, PalliativeCare and QICoreCommon
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): AHAOverall, AdvancedIllnessandFrailty... Show 77 more, CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality, ECQMFHIRUpdate2025, Hospice, NHSNGlycemicControlHypoglycemiaInitialPopulation, QICoreCommon and SupplementalDataElements
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • AllergyIntolerance Clinical Status Codes: CMS145FHIRCADBBlockerTPMIorLVSD, CMS347FHIRStatinPreventionTxCVD, CMS996FHIRAptTxforSTEMI, ECQMFHIRUpdate2025 and QICoreCommon
  • AllergyIntolerance Verification Status: CMS135FHIRACEIorARBorARNIforHF, CMS144FHIRHFBetaBlockerForLVSD... Show 4 more, CMS145FHIRCADBBlockerTPMIorLVSD, CMS996FHIRAptTxforSTEMI, ECQMFHIRUpdate2025 and QICoreCommon
  • Artifact Identifier Type Codes: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 71 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • Condition Category Codes: QICoreCommon
  • Condition Clinical Status Codes: CMS108FHIRVTEProphylaxis, CMS1173FHIRDiagnosticDelayVTE... Show 17 more, CMS129FHIRProstCaBoneScanUse, CMS135FHIRACEIorARBorARNIforHF, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS154FHIRAppropriateTxforURI, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS347FHIRStatinPreventionTxCVD, CMS506FHIRSafeUseofOpioids, CMS69FHIRPCSBMIScreenAndFollowUp, CMS871FHIRHHHyper, CMS986FHIRMalnutritionScore, ECQMFHIRUpdate2025, NHSNGlycemicControlHypoglycemiaInitialPopulation and QICoreCommon
  • ConditionVerificationStatus: CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR... Show 43 more, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS122FHIRDiabetesAssessGT9Pct, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS165FHIRControllingHighBP, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS506FHIRSafeUseofOpioids, CMS56FHIRFuncStatHipReplacement, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, ECQMFHIRUpdate2025, QICoreCommon and Status
  • Diagnosis Role: CQMCommon, ECQMFHIRUpdate2025, NHSNGlycemicControlHypoglycemiaInitialPopulation and QICoreCommon
  • Example Diagnosis Type Codes: CMS104FHIRSTKDCAntithrombotic, CMS108FHIRVTEProphylaxis... Show 8 more, CMS1218FHIRHHRF, CMS1244FHIRECATHOQR, CMS1264FHIRECATREHQR, CMS136FHIRChildADHDMedFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CQMCommon and ECQMFHIRUpdate2025
  • Example Procedure Type Codes: CMS108FHIRVTEProphylaxis, CMS190FHIRVTEProphylaxisICU, CQMCommon and ECQMFHIRUpdate2025
  • LibraryType: AHAOverall, AdultOutpatientEncounters... Show 89 more, AdvancedIllnessandFrailty, AlaraCommonFunctions, Antibiotic, CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality, CQMCommon, CumulativeMedicationDuration, ECQMFHIRUpdate2025, FHIRHelpers, Hospice, NHSNGlycemicControlHypoglycemiaInitialPopulation, NHSNHelpers, PCMaternal, PalliativeCare, QICoreCommon, Status, SupplementalDataElements, TJCOverall and VTE
  • MeasureDataUsage: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 70 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • MeasureImprovementNotation: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 70 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission and CMSFHIR844HybridHospitalWideMortality
  • Measure Population Type: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 71 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • Measure Scoring: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 71 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • MeasureType: CMS0334FHIRPCCesareanBirth, CMS1017FHIRHHFI... Show 71 more, CMS1028FHIRPCSevereOBComps, CMS104FHIRSTKDCAntithrombotic, CMS1056FHIRCTClinical, CMS1074FHIRCTIQR, CMS108FHIRVTEProphylaxis, CMS1154ScreeningPrediabetesFHIR, CMS1157FHIRHIVRetention, CMS1173FHIRDiagnosticDelayVTE, CMS117FHIRChildImmunStatus, CMS1188FHIRHIVSTITesting, CMS1206FHIRCTOQR, CMS1218FHIRHHRF, CMS122FHIRDiabetesAssessGT9Pct, CMS1244FHIRECATHOQR, CMS124FHIRCervicalCancerScreen, CMS125FHIRBreastCancerScreen, CMS1264FHIRECATREHQR, CMS128FHIRAntidepressantMgmt, CMS129FHIRProstCaBoneScanUse, CMS130FHIRColorectalCancerScrn, CMS131FHIRDiabetesEyeExam, CMS133FHIRCataracts2040BCVA90Days, CMS135FHIRACEIorARBorARNIforHF, CMS136FHIRChildADHDMedFollowUp, CMS137FHIRSUDTxInitEngagement, CMS138FHIRTobaccoScrnCessation, CMS139FHIRFallRiskScreening, CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval, CMS144FHIRHFBetaBlockerForLVSD, CMS145FHIRCADBBlockerTPMIorLVSD, CMS146FHIRApproTestPharyngitis, CMS149FHIRDementiaCognitiveAssess, CMS153FHIRChlamydiaScreening, CMS154FHIRAppropriateTxforURI, CMS155FHIRWgtAssessCounseling, CMS156FHIRHighRiskMedsElderly, CMS157FHIRPainIntensityQuantified, CMS159FHIRDepRemissionat12Months, CMS165FHIRControllingHighBP, CMS177FHIRChildMDDSuicideAssmt, CMS190FHIRVTEProphylaxisICU, CMS22FHIRPCSBPScreeningFollowUp, CMS2FHIRPCSDepScreenAndFollowUp, CMS314FHIRHIVViralSuppression, CMS347FHIRStatinPreventionTxCVD, CMS349FHIRHIVScreening, CMS506FHIRSafeUseofOpioids, CMS50FHIRReceiptofSpecialistReport, CMS56FHIRFuncStatHipReplacement, CMS645FHIRBoneDensityPCADTherapy, CMS646FHIRIntravesicalBCGTherapy, CMS68FHIRDocumentationCurrentMeds, CMS69FHIRPCSBMIScreenAndFollowUp, CMS71FHIRSTKAnticoagAFFlutter, CMS72FHIRSTKAntithromboticDay2, CMS74FHIRDentalCariesPrevention, CMS75FHIRChildrenDentalDecay, CMS771FHIRUrinarySymptomScoreBPH, CMS816FHIRHHHypo, CMS819FHIRHHORAE, CMS826FHIRHHPI, CMS832FHIRHHAKI, CMS871FHIRHHHyper, CMS90FHIRFSAforHeartFailure, CMS951FHIRKidneyHealthEval, CMS986FHIRMalnutritionScore, CMS996FHIRAptTxforSTEMI, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • MedicationRequest Category Codes: CMS1017FHIRHHFI, CMS104FHIRSTKDCAntithrombotic... Show 4 more, CMS506FHIRSafeUseofOpioids, CMS71FHIRSTKAnticoagAFFlutter, ECQMFHIRUpdate2025 and QICoreCommon
  • Observation Category Codes: CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn... Show 5 more, CMS131FHIRDiabetesEyeExam, CMS832FHIRHHAKI, ECQMFHIRUpdate2025, QICoreCommon and Status
  • UsageContextType: CMS1154ScreeningPrediabetesFHIR, CMSFHIR529HybridHospitalWideReadmission, CMSFHIR844HybridHospitalWideMortality and NHSNGlycemicControlHypoglycemiaInitialPopulation
  • ActCode: CMS142FHIRCommWithDrManagingDiab, CMS143FHIRPOAGOpticNerveEval... Show 8 more, CMS22FHIRPCSBPScreeningFollowUp, CMS646FHIRIntravesicalBCGTherapy, CMS69FHIRPCSBMIScreenAndFollowUp, CMS771FHIRUrinarySymptomScoreBPH, CMS996FHIRAptTxforSTEMI, ECQMFHIRUpdate2025, NHSNGlycemicControlHypoglycemiaInitialPopulation and QICoreCommon
  • RoleCode: CMS1218FHIRHHRF, CMS1244FHIRECATHOQR... Show 4 more, CMS1264FHIRECATREHQR, CMS996FHIRAptTxforSTEMI, ECQMFHIRUpdate2025 and QICoreCommon
  • TimingEvent: CumulativeMedicationDuration
• Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.
  Show Usage
  • RxNorm: CMS136FHIRChildADHDMedFollowUp, CMS156FHIRHighRiskMedsElderly and ECQMFHIRUpdate2025