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/CMS1218FHIRHHRF#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: 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: 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 First Respiratory Rate In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Albumin In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Arterial pH In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Body Temperature In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Carbon Dioxide In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Hematocrit In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Heart Rate In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First BMI
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Hemoglobin In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable All Encounter Diagnoses With POA Indication
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Sodium In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Creatinine In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First White Blood Cell Count In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable ASA Physical Status Class
Use: Out Min Cardinality: 0 Max Cardinality: * Type: CodeableConcept |
| Parameter |
Name: Risk Variable Principal Procedure
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 First Bicarbonate In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Bilirubin In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Systolic Blood Pressure In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Oxygen In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Leukocyte Count In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter Procedures
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Blood Urea Nitrogen In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First AST In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable First Platelet Count In Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: birthDate, birthDate.value, url, extension |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, period, id, id.value, location, reasonCode, diagnosis, diagnosis.code, onAdmission Code Filter(s): Path: type ValueSet: Outpatient Surgery Service |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period, priority, id, id.value, location, reasonCode, diagnosis, diagnosis.code, onAdmission Code Filter(s): Path: type ValueSet: Elective Inpatient Encounter |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period, id, id.value, location, reasonCode, diagnosis, diagnosis.code, onAdmission Code Filter(s): Path: type ValueSet: Observation Services |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period, id, id.value, location, reasonCode, diagnosis, diagnosis.code, onAdmission Code Filter(s): Path: type ValueSet: Emergency Department Visit |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: Anesthesia Requiring Monitored Care |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: General and Neuraxial Anesthesia |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: Intubation |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: Non Invasive Oxygen Therapy by Nasal Cannula or Mask |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code Code(s): SNOMED CT 271280005: Removal of endotracheal tube (procedure) |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: Head, Neck, and Thoracic Surgeries with High Risk Airway Compromise |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value, id, id.value Code Filter(s): Path: code ValueSet: Mechanical Ventilation |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: performed, status, status.value, id, id.value, partOf, code |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed, id, id.value Code Filter(s): Path: code ValueSet: Tracheostomy Procedures |
| Data Requirement |
Type: Observation
Profile(s): US Core Respiratory Rate Profile Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code Code(s): LOINC 9279-1: Respiratory rate |
| Data Requirement |
Type: Observation
Profile(s): US Core Respiratory Rate Profile Must Support Elements: value |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Albumin lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Hematocrit Lab Test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Hemoglobin lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Sodium lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Creatinine Lab Test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: White blood cells count lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Bicarbonate lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Bilirubin lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Leukocyte count lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Non Invasive Oxygen Therapy |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Blood urea nitrogen lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code ValueSet: Carbon Dioxide Partial Pressure in Arterial Blood |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code ValueSet: Arterial Blood pH |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code ValueSet: Oxygen Partial Pressure in Arterial Blood |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Aspartate transaminase lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: code, status, status.value Code Filter(s): Path: code ValueSet: Platelet count lab test |
| Data Requirement |
Type: Observation
Profile(s): QICore Laboratory Result Observation Must Support Elements: effective, value |
| Data Requirement |
Type: Observation
Profile(s): US Core Body Temperature Profile Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code Code(s): LOINC 8310-5: Body temperature |
| Data Requirement |
Type: Observation
Profile(s): US Core Body Temperature Profile Must Support Elements: value |
| Data Requirement |
Type: Observation
Profile(s): US Core Heart Rate Profile Must Support Elements: code, status, status.value, effective, value Code Filter(s): Path: code Code(s): LOINC 8867-4: Heart rate |
| Data Requirement |
Type: Observation
Profile(s): US Core Heart Rate Profile Must Support Elements: value |
| Data Requirement |
Type: Observation
Profile(s): US Core BMI Profile Must Support Elements: status, status.value, effective, value |
| 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 |
| 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: effective |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Screening Assessment Must Support Elements: code, status, status.value, value Code Filter(s): Path: code Code(s): LOINC 97816-3: American society of anesthesiologists morbidity state |
| Data Requirement |
Type: Observation
Profile(s): US Core Blood Pressure Profile Must Support Elements: effective, status, status.value, component |
| Data Requirement |
Type: Location
Profile(s): QICore Location Must Support Elements: type |
| Generated using version 0.4.9 of the sample-content-ig Liquid templates | |