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/CMS50FHIRReceiptofSpecialistReport#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: 1 Type: boolean |
| Parameter |
Name: Denominator
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: 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 |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: extension, birthDate, birthDate.value, url |
| Data Requirement |
Type: ServiceRequest
Profile(s): QICore ServiceRequest Must Support Elements: code, status, status.value, intent, intent.value, authoredOn, authoredOn.value Code Filter(s): Path: code ValueSet: Referral |
| Data Requirement |
Type: Resource
Profile(s): Resource Must Support Elements: id, id.value |
| Data Requirement |
Type: Task
Profile(s): 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: 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: Ophthalmological Services |
| 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, 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 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: Preventive Care, Established Office Visit, 0 to 17 |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Behavioral/Neuropsych Assessment |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed 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): QICore Procedure Must Support Elements: code, status, status.value, performed 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): QICore Procedure Must Support Elements: code, status, status.value, performed 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): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code Code(s): Current Procedural Terminology (CPT®) 90839: Psychotherapy for crisis; first 60 minutes |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Psych Visit Diagnostic Evaluation |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, status, status.value, performed 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: Coverage
Profile(s): QICore Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
| Generated using version 0.4.9 of the sample-content-ig Liquid templates | |