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/CMS90FHIRFSAforHeartFailure#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: 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
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: Office 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: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71969-0: PROMIS-10 Global Mental Health (GMH) score T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71971-6: PROMIS-10 Global Physical Health (GPH) score T-score
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 71955-9: PROMIS-29 Sleep disturbance score T-score
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 71957-5: PROMIS-29 Satisfaction with participation in social roles score T-score
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 71959-1: PROMIS-29 Physical function score T-score
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 71961-7: PROMIS-29 Pain interference score T-score
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 71963-3: PROMIS-29 Fatigue score T-score
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 71965-8: PROMIS-29 Depression score T-score
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 71967-4: PROMIS-29 Anxiety score T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72026-8: VR-12 Mental component summary (MCS) score - oblique method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72025-0: VR-12 Physical component summary (PCS) score - oblique method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72028-4: VR-12 Mental component summary (MCS) score - orthogonal method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72027-6: VR-12 Physical component summary (PCS) score - orthogonal method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71990-6: VR-36 Mental component summary (MCS) score - oblique method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71989-8: VR-36 Physical component summary (PCS) score - oblique method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72008-6: VR-36 Mental component summary (MCS) score - orthogonal method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72007-8: VR-36 Physical component summary (PCS) score - orthogonal method T-score
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 85618-7: Physical score [MLHFQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 85609-6: Emotional score [MLHFQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 86923-0: Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 86924-8: Overall summary score [KCCQ-12]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72189-4: Quality of life score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72194-4: Symptom stability score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72190-2: Self-efficacy score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72191-0: Total symptom score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72195-1: Physical limitation score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 72196-9: Social limitation score [KCCQ]
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: value, status, status.value
Data Requirement Type: Observation
Profile(s): QICore Observation Screening Assessment
Must Support Elements: code, effective, status, status.value
Code Filter(s):
Path: code
Code(s): LOINC 71940-1: Overall summary score [KCCQ]
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: Condition
Profile(s): QICore Condition Problems Health Concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Heart Failure
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
Code(s): SNOMED CT 702956004: Severe cognitive impairment (finding)
Data Requirement Type: Condition
Profile(s): QICore Condition Encounter Diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Heart Failure
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
Code(s): SNOMED CT 702956004: Severe cognitive impairment (finding)
Data Requirement Type: Coverage
Profile(s): QICore Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
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
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