dQM QICore Content Implementation Guide
2025.0.0 - CI Build

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

Library: Library

Official URL: https://madie.cms.gov/Measure/CMS1017FHIRHHFI#effective-data-requirements Version: 1.0.000
Active Responsible: Centers for Medicare & Medicaid Services (CMS) Computable Name: EffectiveDataRequirements
Metadata
Type Module Definition
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: ErrorLevel
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: string
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Numerator Exclusions
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exclusions
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Payer
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Race
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Sex
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Coding
Parameter Name: SDE Ethnicity
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: Risk Variable Encounter with Osteoporosis Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Coagulation Disorder Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Antidepressant Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable All Encounter Diagnoses with Rank and POA Indication
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Leukemia or Lymphoma Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Obesity Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Peripheral Neuropathy Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Delirium or Dementia or Other Psychosis Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Suicide Attempt
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Liver Disease Moderate to Severe Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Anticoagulant Administration During Encounter
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Neurologic Disorder Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Abnormal Weight Loss or Malnutrition Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Anticoagulant Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Body Mass Index (BMI)
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Quantity
Parameter Name: Risk Variable Encounter with Depression Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Epilepsy Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Diuretic Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with CNS Depressant Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Malignant Bone Disease Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Antihypertensive Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Opioid Medication Active at Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Risk Variable Encounter with Stroke Present on Admission
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, status, status.value, period, onAdmission, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Observation Services
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, status, status.value, period, onAdmission, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Emergency Department Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, status, status.value, period, onAdmission, diagnosis, diagnosis.code, id, id.value, reasonCode
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Patient
Profile(s): QICore Patient
Must Support Elements: id, id.value, url, extension
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id, id.value
Data Requirement Type: Claim
Profile(s): QICore Claim
Must Support Elements: status, status.value, use, use.value, item, diagnosis
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Antidepressants
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Anticoagulants for All Indications
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Diuretics
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Central Nervous System Depressants
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Antihypertensives
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Code Filter(s):
Path: medication
ValueSet: Opioids
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication.reference.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value
Data Requirement Type: Medication
Profile(s): QICore Medication
Must Support Elements: id.value, code
Data Requirement Type: Coverage
Profile(s): QICore Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
Data Requirement Type: MedicationAdministration
Profile(s): QICore MedicationAdministration
Must Support Elements: medication, effective, status, status.value
Code Filter(s):
Path: medication
ValueSet: Anticoagulants for All Indications
Data Requirement Type: MedicationAdministration
Profile(s): QICore MedicationAdministration
Must Support Elements: medication.reference.value, effective, status, status.value
Data Requirement Type: Observation
Profile(s): US Core BMI Profile
Must Support Elements: effective, value, status, status.value
Data Requirement Type: AdverseEvent
Profile(s): QICore AdverseEvent
Must Support Elements: event, date, date.value, recordedDate, recordedDate.value
Code Filter(s):
Path: event
ValueSet: Inpatient Falls
Generated using version 0.4.9 of the sample-content-ig Liquid templates