dQM QICore Content Implementation Guide
2025.0.0 - CI Build
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
| Official URL: https://madie.cms.gov/Measure/CMS117FHIRChildImmunStatus#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: National Committee for Quality Assurance | Computable Name: EffectiveDataRequirements | ||
| Metadata | |
|---|---|
| Type | Module Definition |
| Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
| Parameter |
Name: Numerator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Denominator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Initial Population
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Denominator Exclusions
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: SDE Sex
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding |
| Parameter |
Name: SDE Payer
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Parameter |
Name: SDE Race
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: extension, birthDate, birthDate.value, url |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: DTaP Vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Inactivated Polio Vaccine (IPV) |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Measles, Mumps and Rubella (MMR) Vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Hib Vaccine (3 dose schedule) |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Hib Vaccine (4 dose schedule) |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Hepatitis B Vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Varicella Zoster Vaccine (VZV) |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Pneumococcal Conjugate Vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Hepatitis A Vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode Code(s): Vaccine Administered Code Set (CVX) 119: rotavirus, live, monovalent vaccine |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Rotavirus Vaccine (3 dose schedule) |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Child Influenza Immunization Administered |
| Data Requirement |
Type: Immunization
Profile(s): QICore Immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: Influenza Virus LAIV Immunization |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: DTaP Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Inactivated Polio Vaccine (IPV) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Measles, Mumps and Rubella (MMR) Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hib Vaccine (3 dose schedule) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hib Vaccine (4 dose schedule) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hepatitis B Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code Code(s): ICD-10 Procedure Codes 3E0234Z: Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Varicella Zoster Vaccine (VZV) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Pneumococcal Conjugate Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hepatitis A Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Rotavirus Vaccine (2 dose schedule) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Rotavirus Vaccine (3 dose schedule) Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Child Influenza Vaccine Administered |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Influenza Virus LAIV Procedure |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Anaphylactic Reaction to DTaP Vaccine |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471321000124106: Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471331000124109: Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Measles |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Mumps |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Rubella |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 433621000124101: Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 428321000124101: Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hepatitis B |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Varicella Zoster |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471341000124104: Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471141000124102: Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hepatitis A |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471311000124103: Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 428331000124103: Anaphylaxis caused by rotavirus vaccine (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471361000124100: Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Severe Combined Immunodeficiency |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of the Immune System |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: HIV |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Intussusception |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Anaphylactic Reaction to DTaP Vaccine |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471321000124106: Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471331000124109: Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Mumps |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Rubella |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 433621000124101: Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 428321000124101: Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hepatitis B |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Varicella Zoster |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471341000124104: Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471141000124102: Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hepatitis A |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471311000124103: Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 428331000124103: Anaphylaxis caused by rotavirus vaccine (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 471361000124100: Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder) |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Severe Combined Immunodeficiency |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of the Immune System |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: HIV |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Intussusception |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Office Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Home Healthcare Services |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care, Established Office Visit, 0 to 17 |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care Services, Initial Office Visit, 0 to 17 |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Online Assessments |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Telephone Visits |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value Code Filter(s): Path: type ValueSet: Encounter Inpatient |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: Hospice Encounter |
| Data Requirement |
Type: Coverage
Profile(s): QICore Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Screening Assessment Must Support Elements: code, value, effective, status, status.value Code Filter(s): Path: code Code(s): LOINC 45755-6: Hospice care [Minimum Data Set] |
| Data Requirement |
Type: ServiceRequest
Profile(s): QICore ServiceRequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
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