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/CMS165FHIRControllingHighBloodPressure#effective-data-requirements | Version: 0.5.000 | |||
| Active | Responsible: National Committee for Quality Assurance | 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: SDE Sex Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding | 
| 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: SDE Payer Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource | 
| Parameter | Name: Initial Population Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean | 
| 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: 1 Type: boolean | 
| Parameter | Name: SDE Race Use: Out Min Cardinality: 0 Max Cardinality: 1 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: id, id.value | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressureMust Support Elements: effective | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type 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 Code Filter(s): Path: type ValueSet: Emergency Department Evaluation and Management Visit | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressureMust Support Elements: encounter, encounter.class, encounter.class.code, effective | 
| 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: Essential Hypertension | 
| 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: Essential Hypertension | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Office Visit | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Annual Wellness Visit | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Home Healthcare Services | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Virtual Encounter | 
| Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounterMust Support Elements: type Code Filter(s): Path: type ValueSet: Telephone Visits | 
| 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, 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-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: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosisMust Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis | 
| 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: Pregnancy | 
| 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: Pregnancy | 
| 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: End Stage Renal Disease | 
| 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: End Stage Renal Disease | 
| 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: Kidney Transplant Recipient | 
| 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: Kidney Transplant Recipient | 
| 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: Chronic Kidney Disease, Stage 5 | 
| 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: Chronic Kidney Disease, Stage 5 | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code Code Filter(s): Path: code ValueSet: Kidney Transplant | 
| Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedureMust Support Elements: code Code Filter(s): Path: code ValueSet: Dialysis Services | 
| 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: ESRD Monthly Outpatient Services | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | 
| Data Requirement | Type: DeviceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequestMust Support Elements: code Code Filter(s): Path: code ValueSet: Frailty Device | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessmentMust Support Elements: code, value, effective Code Filter(s): Path: code Code(s): LOINC 98181-1: Medical equipment used | 
| 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: Frailty Diagnosis | 
| 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: Frailty Diagnosis | 
| 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: Frailty Encounter | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observationMust Support Elements: code, effective Code Filter(s): Path: code ValueSet: Frailty Symptom | 
| 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: Advanced Illness | 
| 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: Advanced Illness | 
| Data Requirement | Type: MedicationRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequestMust Support Elements: medication Code Filter(s): Path: medication ValueSet: Dementia 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: 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 71802-3: Housing status | 
| Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessmentMust Support Elements: code, effective, value Code Filter(s): Path: code Code(s): LOINC 71802-3: Housing status | 
| 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 71007-9: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) | 
| 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: Palliative Care Diagnosis | 
| 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: Palliative Care Diagnosis | 
| 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: Palliative Care Encounter | 
| 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: Palliative Care Intervention | 
| Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patientMust Support Elements: url | 
| 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: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patientMust Support Elements: url, extension | 
| Generated using version 0.4.8 of the sample-content-ig Liquid templates | |