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/CMS1244FHIRECATHOQR#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: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
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
Parameter Name: Stratification 4
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Stratification 3
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Stratification 2
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Stratification 1
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Data Requirement Type: Patient
Profile(s): QICore Patient
Must Support Elements: extension, url
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Triage
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Emergency Department Evaluation and Management Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: period, location, location.type, hospitalization, hospitalization.dischargeDisposition, type, diagnosis, diagnosis.code
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, status, status.value, period, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value, location, location.type, hospitalization, hospitalization.dischargeDisposition, diagnosis, diagnosis.code
Code Filter(s):
Path: type
ValueSet: Observation Services
Data Requirement Type: Resource
Profile(s): Resource
Must Support Elements: id, id.value
Data Requirement Type: Location
Profile(s): QICore Location
Data Requirement Type: ServiceRequest
Profile(s): QICore ServiceRequest
Must Support Elements: code, status, status.value, authoredOn, authoredOn.value, intent, intent.value
Code Filter(s):
Path: code
ValueSet: Decision to Admit to Hospital Inpatient
Data Requirement Type: ServiceRequest
Profile(s): QICore ServiceRequest
Must Support Elements: code, status, status.value, authoredOn, authoredOn.value
Code Filter(s):
Path: code
ValueSet: Encounter Inpatient
Data Requirement Type: ServiceRequest
Profile(s): QICore ServiceRequest
Must Support Elements: code, status, status.value, authoredOn, authoredOn.value
Code Filter(s):
Path: code
Code(s): SNOMED CT 5751000175101: Patient bed assigned (finding)
Data Requirement Type: Observation
Profile(s): QICore Observation Clinical Result
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Emergency Department Evaluation
Data Requirement Type: Observation
Profile(s): QICore Simple Observation
Must Support Elements: code, value
Code Filter(s):
Path: code
ValueSet: Emergency Department Evaluation
Data Requirement Type: Claim
Profile(s): QICore Claim
Must Support Elements: status, status.value, use, use.value, item
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Data Requirement Type: Coverage
Profile(s): QICore Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
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