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/Library/CMS50FHIRReceiptofSpecialistReport | Version: 1.0.000 | |||
Active as of 2025-08-20 | Responsible: Centers for Medicare & Medicaid Services (CMS) | Computable Name: CMS50FHIRReceiptofSpecialistReport | ||
Other Identifiers: https://madie.cms.gov/login#CMS50FHIRReceiptofSpecialistReport (use: official, ) |
CMS50FHIRReceiptofSpecialistReport
Metadata | |
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Title | CMS50FHIRReceiptofSpecialistReport |
Version | 1.0.000 |
Identifier | CMS50FHIRReceiptofSpecialistReport |
Steward (Publisher) | Centers for Medicare & Medicaid Services (CMS) |
Description | CMS50FHIRReceiptofSpecialistReport |
Type | logic-library from http://terminology.hl7.org/CodeSystem/library-type |
Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
Parameter |
Name: Patient
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
Parameter |
Name: Has Encounter during Measurement Period
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Parameter |
Name: Has Intervention during Measurement Period
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Parameter |
Name: First Referral during First 10 Months of Measurement Period
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
Parameter |
Name: Initial Population
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Parameter |
Name: Denominator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Parameter |
Name: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 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: Referring Clinician Receives Consultant Report to Close Referral Loop
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Parameter |
Name: Numerator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
Data Requirement |
Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
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Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024
|
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1023
|
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 96156: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) |
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 96136: Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes |
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 96138: Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes |
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 90839: Psychotherapy for crisis; first 60 minutes |
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492
|
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 96112: Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour |
Data Requirement |
Type: Task
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task
Must Support Elements: code, focus, basedOn, executionPeriod, status, status.value, reasonCode Code Filter(s): Path: code Code(s): Task Codes fulfill: Fulfill |
Data Requirement |
Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, status, status.value, intent, intent.value, authoredOn, authoredOn.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1046
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Library Content | |
CQL Content |
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ELM XML Content |
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ELM JSON Content |
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Generated using version 0.5.0 of the sample-content-ig Liquid templates |