dQM CMS Content Implementation Guide
2026.1.0 - CI Build

dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2026/ and changes regularly. See the Directory of published versions

Library: Status

Official URL: https://madie.cms.gov/Library/Status Version: 2026.1.0
Standards status: Informative Maturity Level: 1 Computable Name: Status

Status logic.

Metadata
Title Status
Version 2026.1.0
Topic FHIR
Topic CQL
Description

Status logic.

Type http://terminology.hl7.org/CodeSystem/library-type#logic-library
Parameters
Parameter None
Library Content
CQL Content
/*
NOTE: Proposed shared library content refactored to use USQualityCore 0.5.0
*/
library Status version '2.2.000'

using USQualityCore version '0.5.0'
using USCore version '6.1.0-derived'
using FHIR version '4.0.1'

include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers
include hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon

// TODO: Consider whether to refactor to use the FHIRCommon declarations here
codesystem "ObservationCategoryCodes": 'http://terminology.hl7.org/CodeSystem/observation-category'
codesystem "ConditionVerificationStatusCodes": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'

code "exam": 'exam' from "ObservationCategoryCodes" display 'exam'
code "imaging": 'imaging' from "ObservationCategoryCodes" display 'imaging'
code "confirmed": 'confirmed' from ConditionVerificationStatusCodes display 'confirmed'
code "unconfirmed": 'unconfirmed' from ConditionVerificationStatusCodes display 'unconfirmed'
code "provisional": 'provisional' from ConditionVerificationStatusCodes display 'provisional'
code "differential": 'differential' from ConditionVerificationStatusCodes display 'differential'
code "entered-in-error": 'entered-in-error' from ConditionVerificationStatusCodes display 'entered-in-error'
code "refuted": 'refuted' from ConditionVerificationStatusCodes display 'refuted'
code "inactive": 'inactive' from ConditionVerificationStatusCodes display 'inactive'
code "resolved": 'resolved' from ConditionVerificationStatusCodes display 'resolved'
code "remission": 'remission' from ConditionVerificationStatusCodes display 'remission'

context Patient

// TODO: Deprecate because this is now in FHIRCommon
//Condition
/*
@description: Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential
@deprecated: Use the USCoreCommon verified function insteada
*/
define fluent function verified(conditions List<Choice<ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis>>):
  conditions C
    where C.verificationStatus is not null implies
      (C.verificationStatus ~ "confirmed"
        or C.verificationStatus ~ "unconfirmed"
        or C.verificationStatus ~ "provisional"
        or C.verificationStatus ~ "differential"
      )

//Assessment, Performed
define fluent function isAssessmentPerformed(Obs List<ObservationScreeningAssessment>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }

//Device, Order - Personal Use Devices
define fluent function isDeviceOrderPersonalUseDevices(DeviceRequest List<FHIR.DeviceRequest>):
  DeviceRequest D
    where D.status in { 'active', 'completed' }
      and D.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Diagnostic Study, Order
define fluent function isDiagnosticStudyOrder(ServiceRequest List<FHIR.ServiceRequest>):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}
      
//Intervention, Order
define fluent function isInterventionOrder(ServiceRequest List<FHIR.ServiceRequest>):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}    

//Laboratory Test, Order
define fluent function isLaboratoryTestOrder(ServiceRequest List<FHIR.ServiceRequest>):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}       

//Diagnostic Study, Performed
define fluent function isDiagnosticStudyPerformed(Obs List<ObservationClinicalResult>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
        and exists ( O.category ObservationCategory
        where ( ObservationCategory ) ~ "imaging"
    )
    
//Encounter, Performed
//General usage unless required otherwise by measure intent (e.g., follow-up encounters)
define fluent function isEncounterPerformed(Enc List<FHIR.Encounter>):
  Enc E
    where E.status = 'finished'

//Immunization, Administered
define fluent function isImmunizationAdministered(Immunization List<FHIR.Immunization>):
  Immunization I
    where I.status ~ 'completed'

//Intervention, Performed
define fluent function isInterventionPerformed(Proc List<FHIR.Procedure>):
  Proc P
    where P.status ~ 'completed'

//Procedure, Performed
define fluent function isProcedurePerformed(Proc List<FHIR.Procedure>):
  Proc P
    where P.status ~ 'completed'

//Laboratory Test, Performed
define fluent function isLaboratoryTestPerformed(Obs List<LaboratoryResultObservation>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }

//Medication, Active
define fluent function isMedicationActive(MedicationRequest List<FHIR.MedicationRequest>):
  MedicationRequest M
    where M.status = 'active'
      and M.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Medication, Dispensed
define fluent function isMedicationDispensed(Med List<FHIR.MedicationDispense>):
  Med M
    where M.status in { 'completed', 'in-progress', 'on-hold' }

//Medication, Order
define fluent function isMedicationOrder(MedicationRequest List<FHIR.MedicationRequest>):
  MedicationRequest M
    where M.status in { 'active', 'completed' }
    and M.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Physical Exam, Performed
define fluent function isPhysicalExamPerformed(Obs List<ObservationClinicalResult>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      and exists ( O.category ObservationCategory
          where ( ObservationCategory ) ~ "exam"
      )

//Observation Vital Signs
define fluent function isObservationBP(Obs List<BloodPressureProfile>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBodyHeight(Obs List<BodyHeightProfile>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBodyWeight(Obs List<BodyWeightProfile>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBMI(Obs List<BMIProfile>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
 
//Observation Pediatric BMI
define fluent function isObservationPediatricBMI(Obs List<PediatricBMIforAgeObservationProfile>):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' } 
   
//Observation Smoking Status
define fluent function isObservationSmokingStatus(Obs List<SmokingStatusProfile>):
  Obs O
    where O.status = 'final' 

//Symptom
define fluent function isSymptom(Obs List<SimpleObservation>):
  Obs O
    where O.status in { 'preliminary', 'final', 'amended', 'corrected' }
ELM XML Content
Encoded data 
ELM JSON Content
Encoded data 
Citations and References
Dependency Description: Model USQualityCore
Resource: http://fhir.org/guides/onc/us-quality-core/Library/USQualityCore-ModelInfo|0.5.0
Canonical URL: http://fhir.org/guides/onc/us-quality-core/Library/USQualityCore-ModelInfo|0.5.0
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Dependency Description: Code System ObservationCategoryCodes
Resource: Observation Category Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/observation-category
Dependency Description: Code System ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status
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