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/CMS347FHIRStatinPreventionTxCVD#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: ErrorLevel
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: string
Parameter Name: Initial Population 1
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Initial Population 2
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Initial Population 3
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Initial Population 4
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator 3
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator 2
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator 4
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: Denominator 1
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator Exceptions
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
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 Payer
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Ethnicity
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Data Requirement Type: Patient
Profile(s): QICore Patient
Must Support Elements: birthDate, birthDate.value, url, extension
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Myocardial Infarction
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) I22.2: Subsequent non-ST elevation (NSTEMI) myocardial infarction
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Cerebrovascular Disease Stroke or TIA
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Atherosclerosis and Peripheral Arterial Disease
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Ischemic Heart Disease or Related Diagnoses
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Stable and Unstable Angina
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Familial Hypercholesterolemia
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Diabetes
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Breastfeeding
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Rhabdomyolysis
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: Palliative Care Diagnosis
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
ValueSet: Hepatitis B
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Liver Disease
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Statin Associated Muscle Symptoms
Data Requirement Type: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: End Stage Renal Disease
Data Requirement Type: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
ValueSet: PCI
Data Requirement Type: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
ValueSet: CABG Surgeries
Data Requirement Type: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
ValueSet: Carotid Intervention
Data Requirement Type: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
ValueSet: CABG or PCI 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: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
ValueSet: Palliative Care Intervention
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Annual Wellness Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Outpatient Consultation
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Outpatient Encounters for Preventive Care
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
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, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Individual Counseling
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
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, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Other
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Telemedicine Services
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: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, status, status.value
Code Filter(s):
Path: type
ValueSet: Palliative Care Encounter
Data Requirement Type: Observation
Profile(s): QICore Laboratory Result Observation
Must Support Elements: code, value, effective, status, status.value
Code Filter(s):
Path: code
ValueSet: LDL Cholesterol
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 99055-6: Cardiovascular disease 10Y risk [Likelihood]
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 79423-0: Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013
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: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, value, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71007-9: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, dispenseRequest.validityPeriod
Code Filter(s):
Path: medication
ValueSet: Low Intensity Statin Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, dispenseRequest.validityPeriod
Code Filter(s):
Path: medication
ValueSet: Moderate Intensity Statin Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, dispenseRequest.validityPeriod
Code Filter(s):
Path: medication
ValueSet: High Intensity Statin Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication.reference.value, authoredOn, authoredOn.value, status, status.value, intent, intent.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: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Breastfeeding
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Rhabdomyolysis
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: Palliative Care Diagnosis
Data Requirement Type: AllergyIntolerance
Profile(s): QICore AllergyIntolerance
Must Support Elements: code, onset, clinicalStatus
Code Filter(s):
Path: code
ValueSet: Statin Allergen
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: AdverseEvent
Profile(s): QICore AdverseEvent
Must Support Elements: event, date, date.value, recordedDate, recordedDate.value
Code Filter(s):
Path: event
ValueSet: Statin Allergen
Data Requirement Type: MedicationRequest
Profile(s): QICore Medication Not Requested
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, reasonCode
Code Filter(s):
Path: medication
ValueSet: Low Intensity Statin Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore Medication Not Requested
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, reasonCode
Code Filter(s):
Path: medication
ValueSet: Moderate Intensity Statin Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore Medication Not Requested
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, reasonCode
Code Filter(s):
Path: medication
ValueSet: High Intensity Statin Therapy
Generated using version 0.4.9 of the sample-content-ig Liquid templates