Library - eCQM QICore Content Implementation Guide v2024.0.0

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2024/ and changes regularly. See the Directory of published versions

Narrative Content

Library: Library

Official URL: https://madie.cms.gov/Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR#effective-data-requirements				Version: 0.2.000
Draft			Responsible: Centers for Medicare & Medicaid Services (CMS)	Computable Name: EffectiveDataRequirements

Id: effective-data-requirements

Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: module-definition

Related Artifacts:

Dependencies

Library/QICoreCommon|2.1.000
Library/FHIRHelpers|4.4.000
Library/SupplementalDataElements|3.5.000
Library/Hospice|6.12.000
Library/Status|1.8.000
Library/PalliativeCare|1.11.000
Condition Category Codes
US Core Condition Category Extension Codes
Condition Clinical Status Codes
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
Logical Observation Identifiers, Names and Codes (LOINC)
AdministrativeGender
AllergyIntolerance Clinical Status Codes
SNOMED CT (all versions)
Observation Category Codes
Myocardial Infarction
Cerebrovascular Disease, Stroke, TIA
Atherosclerosis and Peripheral Arterial Disease
Ischemic Heart Disease or Other Related Diagnoses
Stable and Unstable Angina
PCI
CABG Surgeries
Carotid Intervention
CABG, PCI Procedure
Annual Wellness Visit
Office Visit
Outpatient Consultation
Outpatient Encounters for Preventive Care
Preventive Care Services - Established Office Visit, 18 and Up
Preventive Care Services-Individual Counseling
Preventive Care Services-Initial Office Visit, 18 and Up
Preventive Care Services - Other
LDL Cholesterol
Hypercholesterolemia
Diabetes
Low Intensity Statin Therapy
Moderate Intensity Statin Therapy
High Intensity Statin Therapy
Payer
Breastfeeding
Rhabdomyolysis
Statin Allergen
Encounter Inpatient
Hospice Encounter
Hospice Care Ambulatory
Hospice Diagnosis
Palliative Care Diagnosis
Palliative Care Encounter
Palliative Care Intervention
Hepatitis A
Hepatitis B
Liver Disease
Statin Associated Muscle Symptoms
End Stage Renal Disease
Medical Reason

Parameters:

Name

Type

Min

Max

In/Out

Measurement Period

Period

Initial Population 1

boolean

Out

Initial Population 2

boolean

Out

SDE Race

Resource

Out

Initial Population 3

boolean

Out

Initial Population 4

boolean

Out

SDE Sex

Coding

Out

Denominator 3

boolean

Out

Numerator

boolean

Out

Denominator 2

boolean

Out

Denominator 4

boolean

Out

SDE Payer

Resource

Out

SDE Ethnicity

Resource

Out

Denominator Exclusions

boolean

Out

Denominator 1

boolean

Out

Denominator Exceptions

boolean

Out

Data Requirements:

Type

Profile

Code Filter

Patient

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient

;;

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.403

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.44

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.21

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.46

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.47

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code

system: http://hl7.org/fhir/sid/icd-10-cm

code: I22.2

display: Subsequent non-ST elevation (NSTEMI) myocardial infarction

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.100

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.73

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.102

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.269

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.42

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.85

Condition

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition

;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.67

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.694

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.204

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.566

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584

Procedure

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1576

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1150

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003

Encounter

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

;;;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090

Observation

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

;;;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1573

Observation

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

;;;;;;

code filter:
path: code

system: http://loinc.org

code: 99055-6

display: Cardiovascular disease 10Y risk [Likelihood]

Observation

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

;;;;;;

code filter:
path: code

system: http://loinc.org

code: 79423-0

display: Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013

Observation

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

;;;;;;

code filter:
path: code

system: http://loinc.org

code: 45755-6

display: Hospice care [Minimum Data Set]

code filter:
path: value

Observation

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

;;;;;;

code filter:
path: code

system: http://loinc.org

code: 71007-9

display: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)

Medication

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication

;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574

Medication

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication

;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575

Medication

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication

;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

;;;;;;;;

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

;;;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

;;;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

;;;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572

Coverage

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage

;;

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

AllergyIntolerance

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance

;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.42 code filter:
path: clinicalStatus

ServiceRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest

;;;;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584

AdverseEvent

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent

;;;

code filter:
path: event
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.42

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572

MedicationRequest

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested

;;;;;;

code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572