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/CMS996FHIRAptTxforSTEMI#effective-data-requirements | Version: 2.0.000 | |||
| Active | Responsible: Centers for Medicare & Medicaid Services (CMS) | Computable Name: EffectiveDataRequirements | ||
| Metadata | |
|---|---|
| Type | module-definition from http://terminology.hl7.org/CodeSystem/library-type | 
| Parameter | Name: Measurement Period Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period | 
| Parameter | Name: SDE Sex Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding | 
| 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: SDE Payer Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource | 
| Parameter | Name: Initial Population 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: Denominator Exclusions 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: Denominator Exceptions Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patientMust Support Elements: url, value.value | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: class, type, period, status, status.value Code Filter(s): Path: class Code(s): ActCode EMER: emergency | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: STEMI | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosisMust Support Elements: code Code Filter(s): Path: code ValueSet: STEMI | 
| Data Requirement | Type: Location Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location | 
| Data Requirement | Type: MedicationAdministration Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationMust Support Elements: medication Code Filter(s): Path: medication ValueSet: Fibrinolytic Therapy | 
| Data Requirement | Type: MedicationAdministration Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationMust Support Elements: medication.reference.value | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Percutaneous Coronary Intervention | 
| Data Requirement | Type: AllergyIntolerance Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintoleranceMust Support Elements: code, clinicalStatus, verificationStatus, onset Code Filter(s): Path: code ValueSet: Thrombolytic medications | 
| Data Requirement | Type: AdverseEvent Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseeventMust Support Elements: event, date, date.value, detected, detected.value, recordedDate, recordedDate.value, actuality, actuality.value Code Filter(s): Path: event ValueSet: Thrombolytics Adverse Event | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Active Bleeding or Bleeding Diathesis, Excluding Menses | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Malignant Intracranial Neoplasm Group | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Cerebral Vascular Lesion | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Dementia and Related Intracranial Pathologies | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Pregnant State | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Allergy to thrombolytics | 
| Data Requirement | Type: MedicationRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequestMust Support Elements: medication Code Filter(s): Path: medication ValueSet: Oral Anticoagulant Medications | 
| Data Requirement | Type: MedicationRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequestMust Support Elements: medication.reference.value | 
| Data Requirement | Type: Medication Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationMust Support Elements: id.value, code | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Z79.01: Long term (current) use of anticoagulants | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosisMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Z79.01: Long term (current) use of anticoagulants | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Aortic Dissection or Ruptured Aortic Aneurysm | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Neurologic impairment | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) I20.1: Angina pectoris with documented spasm | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 723858002: Ventricular aneurysm due to and following acute myocardial infarction (disorder) | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) I25.3: Aneurysm of heart | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): SNOMED CT 441541008: Takotsubo cardiomyopathy (disorder) | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) I51.81: Takotsubo syndrome | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Cardiopulmonary Emergency | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Major Surgical Procedure | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code Code Filter(s): Path: code ValueSet: Endotracheal Intubation | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code Code Filter(s): Path: code ValueSet: Mechanical Circulatory Assist Device | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Ischemic Stroke | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Closed Head and Facial Trauma | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Acute Peptic Ulcer | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Intracranial or Intraspinal surgery | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: class, type, period, status, status.value, reasonCode, hospitalization, hospitalization.dischargeDisposition Code Filter(s): Path: class Code(s): ActCode EMER: emergency | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period Code Filter(s): Path: type ValueSet: Encounter Inpatient | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type, period Code Filter(s): Path: type ValueSet: Hospice Encounter | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessmentMust Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 45755-6: Hospice care [Minimum Data Set] | 
| Data Requirement | Type: ServiceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequestMust Support Elements: code, authoredOn, authoredOn.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code, performed Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancystatusMust Support Elements: status, status.value, value, effective, effective.value | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patientMust Support Elements: url | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concernsMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Z92.82: Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility | 
| Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosisMust Support Elements: code Code Filter(s): Path: code Code(s): International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Z92.82: Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurenotdoneMust Support Elements: code Code Filter(s): Path: code ValueSet: Percutaneous Coronary Intervention | 
| Data Requirement | Type: MedicationAdministration Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdoneMust Support Elements: medication Code Filter(s): Path: medication ValueSet: Fibrinolytic Therapy | 
| Data Requirement | Type: Coverage Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverageMust Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: class, type, period, status, status.value, reasonCode Code Filter(s): Path: class Code(s): ActCode EMER: emergency | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patientMust Support Elements: url, extension | 
| Generated using version 0.5.0 of the sample-content-ig Liquid templates | |