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/CMS154FHIRAppropriateTxforURI#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: ErrorLevel
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: string
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: Denominator Exclusions
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 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, birthDate, birthDate.value
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: 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: Medical Disability Exam
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: Outpatient Consultation
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 Group Counseling
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 Individual Counseling
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
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 Established Office Visit, 18 and Up
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, 18 and Up
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, status, status.value, period
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: Upper Respiratory Infection
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: Comorbid Conditions for Respiratory Conditions
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Competing Conditions for Respiratory Conditions
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Acute Pharyngitis
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Acute Tonsillitis
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, status, status.value, intent, intent.value, authoredOn, authoredOn.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, dispenseRequest.validityPeriod
Code Filter(s):
Path: medication
ValueSet: Antibiotic Medications for Pharyngitis
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication.reference.value, status, status.value, intent, intent.value, authoredOn, authoredOn.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, dispenseRequest.validityPeriod
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
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 Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Hospice Diagnosis
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