eCQM QICore Content Implementation Guide
2025.0.0 - CI Build

eCQM 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/ecqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

Library: Library

Official URL: https://madie.cms.gov/Measure/CMS22FHIRPCSBPScreeningFollowUp#effective-data-requirements Version: 0.3.000
Active Responsible: American Institutes for Research (AIR) Computable Name: EffectiveDataRequirements
Metadata
Type Module Definition
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-patient
Must Support Elements: url, value.value
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, intent, intent.value
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Lifestyle Recommendation
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Weight Reduction Recommended
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Dietary Recommendations
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Recommendation to Increase Physical Activity
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Referral or Counseling for Alcohol Consumption
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
Must Support Elements: effective
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
Must Support Elements: effective, component
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, reasonCode, intent, intent.value
Code Filter(s):
Path: code
ValueSet: Referral to Primary Care or Alternate Provider
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 34534-8: EKG 12 channel panel
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 11524-6: EKG study
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Laboratory Tests for Hypertension
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, intent, intent.value, authoredOn, authoredOn.value
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
Must Support Elements: effective, status, status.value
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
Must Support Elements: effective, status, status.value, component
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, authoredOn, authoredOn.value, intent, intent.value
Code Filter(s):
Path: code
ValueSet: Follow Up Within 4 Weeks
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Pharmacologic Therapy for Hypertension
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Must Support Elements: medication.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: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, reasonCode, intent, intent.value, authoredOn, authoredOn.value
Code Filter(s):
Path: code
ValueSet: Referral to Primary Care or Alternate Provider
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
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: Diagnosis of Hypertension
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 85354-9: Blood pressure panel with all children optional
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 8480-6: Systolic blood pressure
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 8462-4: Diastolic blood pressure
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Lifestyle Recommendation
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Weight Reduction Recommended
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Dietary Recommendations
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Recommendation to Increase Physical Activity
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Referral or Counseling for Alcohol Consumption
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 34534-8: EKG 12 channel panel
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): LOINC 11524-6: EKG study
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Laboratory Tests for Hypertension
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested
Must Support Elements: medication
Code Filter(s):
Path: medication
ValueSet: Pharmacologic Therapy for Hypertension
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Follow Up Within 6 Months
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Follow Up Within 4 Weeks
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Referral to Primary Care or Alternate Provider
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, period, status, status.value, class
Code Filter(s):
Path: type
ValueSet: Encounter to Screen for Blood Pressure
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: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url, extension
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