eCQM Content CMS Implementation Guide
2025.7.1 - CI Build
eCQM Content CMS Implementation Guide
2025.7.1 - CI Build
eCQM Content CMS Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.7.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-cms-2025/ and changes regularly. See the Directory of published versions
| Official URL: https://madie.cms.gov/Measure/CMS1017FHIRHHFI#effective-data-requirements | Version: 0.3.000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Active | Responsible: Centers for Medicare & Medicaid Services (CMS)/a> | Computable Name: EffectiveDataRequirements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Metadata | |
|---|---|
| Type | Module Definition |
| Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
| Parameter |
Name: ErrorLevel
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: string |
| Parameter |
Name: Initial Population
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| 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: Numerator Exclusions
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Denominator Exclusions
Use: Out Min Cardinality: 0 Max Cardinality: * 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: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Osteoporosis Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Coagulation Disorder Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Antidepressant Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable All Encounter Diagnoses with Rank and POA Indication
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Leukemia or Lymphoma Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Obesity Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Peripheral Neuropathy Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Delirium or Dementia or Other Psychosis Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Suicide Attempt
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Liver Disease Moderate to Severe Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Anticoagulant Administration During Encounter
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Neurologic Disorder Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Abnormal Weight Loss or Malnutrition Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Anticoagulant Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Body Mass Index (BMI)
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Quantity |
| Parameter |
Name: Risk Variable Encounter with Depression Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Epilepsy Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Diuretic Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with CNS Depressant Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Malignant Bone Disease Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Antihypertensive Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Opioid Medication Active at Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Risk Variable Encounter with Stroke Present on Admission
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Observation Services |
| Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Emergency Department Visit |
| Data Requirement |
Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period, id, id.value, reasonCode Code Filter(s): Path: type ValueSet: Encounter Inpatient |
| Data Requirement |
Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: id, id.value, url, extension |
| Data Requirement |
Type: Resource
Profile(s): Resource Must Support Elements: id, id.value |
| Data Requirement |
Type: Claim
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim
Must Support Elements: status, status.value, use, use.value, item, diagnosis |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Antidepressants |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Anticoagulants for All Indications |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Diuretics |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Central Nervous System Depressants |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Antihypertensives |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value Code Filter(s): Path: medication ValueSet: Opioids |
| Data Requirement |
Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication.reference.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, status, status.value, intent, intent.value, subject, subject.reference, subject.reference.value |
| Data Requirement |
Type: Medication
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication
Must Support Elements: id.value, code |
| 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: Coverage
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
| Data Requirement |
Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Must Support Elements: medication, effective, status, status.value Code Filter(s): Path: medication ValueSet: Anticoagulants for All Indications |
| Data Requirement |
Type: MedicationAdministration
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
Must Support Elements: medication.reference.value, effective, status, status.value |
| Data Requirement |
Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi
Must Support Elements: effective, value, status, status.value |
| Data Requirement |
Type: AdverseEvent
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent
Must Support Elements: event, date, date.value, recordedDate, recordedDate.value Code Filter(s): Path: event ValueSet: Inpatient Falls |
| Generated using version 0.4.8 of the sample-content-ig Liquid templates | |