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

## Measure:

Official URL: https://madie.cms.gov/Measure/SupportingEvidenceExample | Version: 2026.1.0
Draft as of 2026-06-16 | Computable Name:

Metadata
Version | 2026.1.0
Status | Draft
Measure Scoring | ratio from http://hl7.org/fhir/measure-scoring
Measure Group (Rate) (ID: group-1)
Basis | boolean
Initial Population | ID: initial-population Description: No description provided Criteria: Initial Population Boolean
Denominator | ID: denominator Description: No description provided Criteria: Denominator Boolean
Denominator-Exclusion | ID: denominator-exclusion Description: No description provided Criteria: Denominator Exclusion Boolean
Numerator Exclusion | ID: numerator-exclusion Description: No description provided Criteria: Numerator Exclusion Boolean
Numerator | ID: numerator Description: No description provided Criteria: Numerator Boolean
Measure Logic
Primary Library | Supporting Evidence Example
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: group-1)
Initial Population
    // boolean population results
    // has matching encounter

    define "Initial Population Boolean":
      exists "All Encounters"
Definition
Denominator
    define "Denominator Boolean":
        "Initial Population Boolean"
Definition
Denominator-Exclusion
    define "Denominator Exclusion Boolean":
      exists "Encounter Cancelled"
Definition
Numerator Exclusion
    define "Numerator Exclusion Boolean":
      exists "Encounter Arrived"
Definition
Numerator
    define "Numerator Boolean":
      exists "Encounters in Period"
Definition
Logic Definitions
Logic Definition | Library Name: SupportingEvidenceExample
    // main criteria logic

    define "All Encounters":
         [Encounter] E
Logic Definition | Library Name: SupportingEvidenceExample
    // boolean population results
    // has matching encounter

    define "Initial Population Boolean":
      exists "All Encounters"
Logic Definition | Library Name: SupportingEvidenceExample
    define "Denominator Boolean":
        "Initial Population Boolean"
Logic Definition | Library Name: SupportingEvidenceExample
    define "Encounter Arrived":
        [Encounter] E
           where E.status = 'arrived'
Logic Definition | Library Name: SupportingEvidenceExample
    define "Numerator Exclusion Boolean":
      exists "Encounter Arrived"
Logic Definition | Library Name: SupportingEvidenceExample
    define "Encounters in Period":
         [Encounter] E
           where E.period during "Measurement Period" and E.status='finished'
Logic Definition | Library Name: SupportingEvidenceExample
    define "Numerator Boolean":
      exists "Encounters in Period"
Logic Definition | Library Name: SupportingEvidenceExample
    define "Encounter Cancelled":
        [Encounter] E
           where E.status = 'cancelled'
Logic Definition | Library Name: SupportingEvidenceExample
    define "Denominator Exclusion Boolean":
      exists "Encounter Cancelled"
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value EncounterStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period."start" is null then
                Interval(period."start".value, period."end".value]
            else
                Interval[period."start".value, period."end".value]
Terminology
Terminology | None
Dependencies
Dependency | None
Data Requirements
Data Requirement | Type: Encounter Profile(s): Encounter
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: period, status
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: status
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