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/CMS137FHIRSUDTxInitEngagement#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: Denominator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Numerator 1
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Numerator 2
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 |
| Parameter |
Name: Stratification 3
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Stratification 2
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Stratification 1
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: extension, birthDate, birthDate.value, url |
| 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: Initial Hospital Inpatient Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Discharge Services Hospital Inpatient Same Day Discharge |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Discharge Services Hospital Inpatient |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Emergency Department Evaluation and Management Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Detoxification Visit |
| 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, status, status.value, period Code Filter(s): Path: type ValueSet: Online Assessments |
| 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: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Substance Use Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis |
| 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 Problems Health Concerns |
| 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: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Substance Use Disorder Treatment |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Psych Visit Psychotherapy |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Substance Use Disorder Long Acting Medication Administration |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Substance Use Disorder Short Acting Medication Administration |
| 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: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, authoredOn, authoredOn.value Code Filter(s): Path: medication ValueSet: Substance Use Disorder Long Acting Medication |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, authoredOn, authoredOn.value Code Filter(s): Path: medication ValueSet: Substance Use Disorder Short Acting Medication |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication.reference.value, status, status.value, intent, intent.value, authoredOn, authoredOn.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: 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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