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/CMS90FHIRFSAforHeartFailure | Version: 1.0.000 | |||
Active as of 2025-09-07 | Responsible: Centers for Medicare & Medicaid Services (CMS) | Computable Name: CMS90FHIRFSAforHeartFailure | ||
Other Identifiers: Short Name: CMS90FHIR (use: usual, ), UUID:54792d38-7ad9-459c-b209-91b8915ab7ac (use: official, ), UUID:52a6d08e-18d6-4563-b69c-aed2f46d4ef4 (use: official, ), Publisher: 90FHIR (use: official, ) | ||||
Copyright/Legal: This electronic clinical quality measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare \& Medicaid Services (CMS). CMS contracted (Contract # 75FCMC18D0027/ Task Order #: 75FCMC24F0144) with the American Institutes for Research (AIR) to develop this electronic measure. AIR is not responsible for any use of the Measure. AIR makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and AIR has no liability to anyone who relies on such measures or specifications. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. AIR disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. The American Dental Association (“ADA”) holds a copyright to the Current Dental Terminology (“CDT”) codes contained in certain measure specifications. The CDT codes in the measure specifications are included with the permission of the ADA. All uses of the CDT codes require a license from the ADA. No alteration, amendments, or modifications of the CDT or any portion thereof is allowed. Resale, transmission, or distribution of copies of the CDT or other portions of the CDT is also not allowed. To inquire about licensing, contact CDT-SNODENT@ada.org. The measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. “HL7” is the registered trademark of Health Level Seven International. |
Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments
Metadata | |
---|---|
Title | Functional Status Assessments for Heart FailureFHIR |
Version | 1.0.000 |
Short Name | CMS90FHIR |
GUID (Version Independent) | urn:uuid:54792d38-7ad9-459c-b209-91b8915ab7ac |
GUID (Version Specific) | urn:uuid:52a6d08e-18d6-4563-b69c-aed2f46d4ef4 |
CMS Identifier | 90FHIR |
Effective Period | 2026-01-01 through 2026-12-31 |
Steward (Publisher) | Centers for Medicare & Medicaid Services (CMS) |
Developer | American Institutes for Research (AIR) |
Description | Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments |
Copyright | This electronic clinical quality measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract # 75FCMC18D0027/ Task Order #: 75FCMC24F0144) with the American Institutes for Research (AIR) to develop this electronic measure. AIR is not responsible for any use of the Measure. AIR makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and AIR has no liability to anyone who relies on such measures or specifications. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. AIR disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. The American Dental Association ("ADA") holds a copyright to the Current Dental Terminology ("CDT") codes contained in certain measure specifications. The CDT codes in the measure specifications are included with the permission of the ADA. All uses of the CDT codes require a license from the ADA. No alteration, amendments, or modifications of the CDT or any portion thereof is allowed. Resale, transmission, or distribution of copies of the CDT or other portions of the CDT is also not allowed. To inquire about licensing, contact CDT-SNODENT@ada.org. The measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. "HL7" is the registered trademark of Health Level Seven International. |
Disclaimer | The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]. |
Rationale | Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013). The most recent update to clinical guidelines by the American Heart Association, the American College of Cardiology, and the Heart Failure Society of America further emphasizes that better understanding of symptom burden and prognosis may improve the quality of treatment decisions. The guideline also indicates that routine assessment can facilitate population health management by identifying high-risk patients needing closer monitoring or referral to specialized centers and that patient-reported health status assessment increases the patient's role in care, which can motivate initiation and uptake of medical therapy (Heidenreich et al., 2022). |
Clinical Recommendation Statement | The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022): This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows:
|
Citation |
Allen, L. A., Stevenson, L. W., Grady, K. L., et al. (2012). Decision Making in Advanced Heart Failure: A Scientific Statement from the American Heart Association. Circulation, 125(15), 1928-1952. doi: 10.1161/CIR.0b013e31824f2173 |
Citation |
Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, Deswal A, Drazner MH, Dunlay SM, Evers LR, Fang JC, Fedson SE, Fonarow GC, Hayek SS, Hernandez AF, Khazanie P, Kittleson MM, Lee CS, Link MS, Milano CA, Nnacheta LC, Sandhu AT, Stevenson LW, Vardeny O, Vest AR, Yancy CW. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145:e895--e1032. doi: 10.1161/CIR.0000000000001063 |
Citation |
Hunt, S. A., Abraham, W. T., Chin, M. H., et al. (2009). 2009 Focused Update Incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. Circulation, 119(14), e391-e479. doi: 10.1161/CIRCULATIONAHA.109.192065 |
Citation |
Rumsfeld, J. S., Alexander, K. P., Goff, D. C., et al. (2013). Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status: A Scientific Statement from the American Heart Association. Circulation, 127(22), 2233-2249. doi: 10.1161/CIR.0b013e3182949a2e |
Guidance (Usage) | Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period. Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA. The same FSA instrument must be used for the initial and follow-up assessment. This eCQM is a patient-based measure. This FHIR-based measure is derived from the QDM-based measure CMS90v15. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6 (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html). |
Measure Group (Rate) (ID: Group_1) | |
Basis | boolean |
Scoring | Proportion |
Improvement Notation | Increased score indicates improvement |
Type | Process |
Initial Population |
ID: InitialPopulation_1
Description: Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period Criteria: Initial Population |
Denominator |
ID: Denominator_1
Description: Equals Initial Population Criteria: Denominator |
Denominator Exclusion |
ID: DenominatorExclusion_1
Description: Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period. Exclude patients with severe cognitive impairment in any part of the measurement period. Criteria: Denominator Exclusions |
Numerator |
ID: Numerator_1
Description: Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey \[VR-12\]; VR-36; Kansas City Cardiomyopathy Questionnaire \[KCCQ\]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire \[MLHFQ\]; Patient-Reported Outcomes Measurement Information System \[PROMIS\]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA Criteria: Numerator |
Supplemental Data Guidance Guidance | <p>For every patient evaluated by this measure also identify payer, race, ethnicity and sex</p> |
Supplemental Data Elements | |
Supplemental Data Element |
ID: sde-ethnicity
Usage Code: Supplemental Data Description: SDE Ethnicity Logic Definition: SDE Ethnicity |
Supplemental Data Element |
ID: sde-payer
Usage Code: Supplemental Data Description: SDE Payer Logic Definition: SDE Payer |
Supplemental Data Element |
ID: sde-race
Usage Code: Supplemental Data Description: SDE Race Logic Definition: SDE Race |
Supplemental Data Element |
ID: sde-sex
Usage Code: Supplemental Data Description: SDE Sex Logic Definition: SDE Sex |
Measure Logic | |
Primary Library | CMS90FHIRFSAforHeartFailure |
Contents |
Population Criteria
Logic Definitions Terminology Dependencies Data Requirements |
Population Criteria | |
Measure Group (Rate) (ID: Group_1) | |
Initial Population | |
Definition
|
|
Initial Population | |
Definition
|
|
Denominator | |
Definition
|
|
Denominator Exclusion | |
Definition
|
|
Numerator | |
Definition
|
|
Logic Definitions | |
Logic Definition | Library Name: Hospice |
|
|
Logic Definition | Library Name: SupplementalDataElements |
|
|
Logic Definition | Library Name: SupplementalDataElements |
|
|
Logic Definition | Library Name: SupplementalDataElements |
|
|
Logic Definition | Library Name: SupplementalDataElements |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: CMS90FHIRFSAforHeartFailure |
|
|
Logic Definition | Library Name: FHIRHelpers |
|
|
Logic Definition | Library Name: FHIRHelpers |
|
|
Logic Definition | Library Name: FHIRHelpers |
|
|
Logic Definition | Library Name: Status |
|
|
Logic Definition | Library Name: Status |
|
|
Logic Definition | Library Name: Status |
|
|
Logic Definition | Library Name: Status |
|
|
Logic Definition | Library Name: Status |
|
|
Logic Definition | Library Name: QICoreCommon |
|
|
Terminology | |
Code System |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
Code System |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
Code System |
Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status |
Code System |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
Code System |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
Code System |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
Value Set |
Description: Value set Office Visit
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 |
Value Set |
Description: Value set Telephone Visits
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080 |
Value Set |
Description: Value set Virtual Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 |
Value Set |
Description: Value set Heart Failure
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376 |
Value Set |
Description: Value set Payer Type
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 |
Value Set |
Description: Value set Encounter Inpatient
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 |
Value Set |
Description: Value set Hospice Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 |
Value Set |
Description: Value set Hospice Care Ambulatory
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 |
Value Set |
Description: Value set Hospice Diagnosis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 |
Direct Reference Code |
Display: Male (finding)
Code: 248153007 System: http://snomed.info/sct |
Direct Reference Code |
Display: Female (finding)
Code: 248152002 System: http://snomed.info/sct |
Direct Reference Code |
Display: PROMIS-10 Global Mental Health (GMH) score T-score
Code: 71969-0 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-10 Global Physical Health (GPH) score T-score
Code: 71971-6 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Sleep disturbance score T-score
Code: 71955-9 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Satisfaction with participation in social roles score T-score
Code: 71957-5 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Physical function score T-score
Code: 71959-1 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Pain interference score T-score
Code: 71961-7 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Fatigue score T-score
Code: 71963-3 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Depression score T-score
Code: 71965-8 System: http://loinc.org |
Direct Reference Code |
Display: PROMIS-29 Anxiety score T-score
Code: 71967-4 System: http://loinc.org |
Direct Reference Code |
Display: VR-12 Mental component summary (MCS) score - oblique method T-score
Code: 72026-8 System: http://loinc.org |
Direct Reference Code |
Display: VR-12 Physical component summary (PCS) score - oblique method T-score
Code: 72025-0 System: http://loinc.org |
Direct Reference Code |
Display: VR-12 Mental component summary (MCS) score - orthogonal method T-score
Code: 72028-4 System: http://loinc.org |
Direct Reference Code |
Display: VR-12 Physical component summary (PCS) score - orthogonal method T-score
Code: 72027-6 System: http://loinc.org |
Direct Reference Code |
Display: VR-36 Mental component summary (MCS) score - oblique method T-score
Code: 71990-6 System: http://loinc.org |
Direct Reference Code |
Display: VR-36 Physical component summary (PCS) score - oblique method T-score
Code: 71989-8 System: http://loinc.org |
Direct Reference Code |
Display: VR-36 Mental component summary (MCS) score - orthogonal method T-score
Code: 72008-6 System: http://loinc.org |
Direct Reference Code |
Display: VR-36 Physical component summary (PCS) score - orthogonal method T-score
Code: 72007-8 System: http://loinc.org |
Direct Reference Code |
Display: Physical score [MLHFQ]
Code: 85618-7 System: http://loinc.org |
Direct Reference Code |
Display: Emotional score [MLHFQ]
Code: 85609-6 System: http://loinc.org |
Direct Reference Code |
Display: Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12]
Code: 86923-0 System: http://loinc.org |
Direct Reference Code |
Display: Overall summary score [KCCQ-12]
Code: 86924-8 System: http://loinc.org |
Direct Reference Code |
Display: Quality of life score [KCCQ]
Code: 72189-4 System: http://loinc.org |
Direct Reference Code |
Display: Symptom stability score [KCCQ]
Code: 72194-4 System: http://loinc.org |
Direct Reference Code |
Display: Self-efficacy score [KCCQ]
Code: 72190-2 System: http://loinc.org |
Direct Reference Code |
Display: Total symptom score [KCCQ]
Code: 72191-0 System: http://loinc.org |
Direct Reference Code |
Display: Physical limitation score [KCCQ]
Code: 72195-1 System: http://loinc.org |
Direct Reference Code |
Display: Social limitation score [KCCQ]
Code: 72196-9 System: http://loinc.org |
Direct Reference Code |
Display: Overall summary score [KCCQ]
Code: 71940-1 System: http://loinc.org |
Direct Reference Code |
Display: confirmed
Code: confirmed System: http://terminology.hl7.org/CodeSystem/condition-ver-status |
Direct Reference Code |
Display: unconfirmed
Code: unconfirmed System: http://terminology.hl7.org/CodeSystem/condition-ver-status |
Direct Reference Code |
Display: provisional
Code: provisional System: http://terminology.hl7.org/CodeSystem/condition-ver-status |
Direct Reference Code |
Display: differential
Code: differential System: http://terminology.hl7.org/CodeSystem/condition-ver-status |
Direct Reference Code |
Display: Discharge to home for hospice care (procedure)
Code: 428361000124107 System: http://snomed.info/sct |
Direct Reference Code |
Display: Discharge to healthcare facility for hospice care (procedure)
Code: 428371000124100 System: http://snomed.info/sct |
Direct Reference Code |
Display: Hospice care [Minimum Data Set]
Code: 45755-6 System: http://loinc.org |
Direct Reference Code |
Display: Yes (qualifier value)
Code: 373066001 System: http://snomed.info/sct |
Direct Reference Code |
Display: Severe cognitive impairment (finding)
Code: 702956004 System: http://snomed.info/sct |
Dependencies | |
Dependency | None |
Data Requirements | |
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
|
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/2.16.840.1.113883.3.464.1003.101.12.1080
|
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/2.16.840.1.113883.3.464.1003.101.12.1089
|
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71955-9: PROMIS-29 Sleep disturbance score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71959-1: PROMIS-29 Physical function score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71961-7: PROMIS-29 Pain interference score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71963-3: PROMIS-29 Fatigue score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71965-8: PROMIS-29 Depression score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71967-4: PROMIS-29 Anxiety score T-score |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective 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): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 85618-7: Physical score [MLHFQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 85609-6: Emotional score [MLHFQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 86923-0: Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 86924-8: Overall summary score [KCCQ-12] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72189-4: Quality of life score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72194-4: Symptom stability score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72190-2: Self-efficacy score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72191-0: Total symptom score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72195-1: Physical limitation score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 72196-9: Social limitation score [KCCQ] |
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, effective Code Filter(s): Path: code Code(s): LOINC 71940-1: Overall summary score [KCCQ] |
Data Requirement |
Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376
|
Data Requirement |
Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.376
|
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, hospitalization, hospitalization.dischargeDisposition, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
|
Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003
|
Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code, value, 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-servicerequest
Must Support Elements: code, authoredOn, authoredOn.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584
|
Data Requirement |
Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584
|
Data Requirement |
Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165
|
Data Requirement |
Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165
|
Data Requirement |
Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/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): http://hl7.org/fhir/us/qicore/StructureDefinition/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: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url |
Data Requirement |
Type: Coverage
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
|
Data Requirement |
Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url, extension |
Generated using version 0.5.0 of the sample-content-ig Liquid templates |