# Home - dQM CMS Content Implementation Guide v2026.1.0

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:https://madie.cms.gov/ImplementationGuide/cms.madie | *Version*:2026.1.0 |
| Draft as of 2026-05-16 | *Computable Name*:DQMContentCMS |

### Introduction

This implementation guide is a collection of draft FHIR-based electronic Clinical Quality Measures (eCQM) that conform to the [FHIR Quality Measure IG](http://hl7.org/fhir/us/cqfmeasures)

> NOTE: The measures in this implementation guide are works in progress and should not be considered final specifications or recommendations for guidance. The examples will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community.

### Content

This implementation guides contains electronic Clinical Quality Measure (eCQM) specifications, published as FHIR Measure and Library resources.

For a complete listing of the Measures in this IG, refer to the [Measures](measures.md) page.

### Dependencies

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both [R4 (cms.madie.r4)](package.r4.tgz) and [R4B (cms.madie.r4b)](package.r4b.tgz) are available.

### Global Profiles

Global Profiles:

* **Type**: [Encounter](http://hl7.org/fhir/R4/encounter.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Encounter](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-encounter.html)
* **Type**: [Immunization](http://hl7.org/fhir/R4/immunization.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Immunization](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-immunization.html)
* **Type**: [Observation](http://hl7.org/fhir/R4/observation.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Simple Observation](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-simple-observation.html)
* **Type**: [Organization](http://hl7.org/fhir/R4/organization.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Organization](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-organization.html)
* **Type**: [Patient](http://hl7.org/fhir/R4/patient.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Patient](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-patient.html)
* **Type**: [Practitioner](http://hl7.org/fhir/R4/practitioner.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core Practitioner](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-practitioner.html)
* **Type**: [PractitionerRole](http://hl7.org/fhir/R4/practitionerrole.html)
  * **Source**: [fhir.onc.us-quality-core#0.5.0](http://fhir.org/guides/onc/us-quality-core/0.5.0)
  * **Profile**: [US Quality Core PractitionerRole](http://fhir.org/guides/onc/us-quality-core/0.5.0/StructureDefinition-us-quality-core-practitionerrole.html)

All resources of these types must conform to these profiles.

### IP Statements

This publication includes IP covered under the following statements.

* The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. [https://ucum.org/trac/wiki/TermsOfUse](https://ucum.org/trac/wiki/TermsOfUse)

* [Unified Code for Units of Measure (UCUM)](http://terminology.hl7.org/6.5.0/CodeSystem-v3-ucum.html): [Measure/CAUTIRateExample](Measure-CAUTIRateExample.md)


* This material contains content from [LOINC](http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the [license](http://loinc.org/license). LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

* [LOINC](http://terminology.hl7.org/6.5.0/CodeSystem-v3-loinc.html): [ALTLabTests](ValueSet-alt-lab-tests.md), [ASTLabTests](ValueSet-ast-lab-tests.md)... Show 5 more, [AlkalinePhosphatase](ValueSet-alkaline-phosphatase.md), [NCT01980823EligibilityCriteria](Library-NCT01980823EligibilityCriteria.md), [SerumCreatinine](ValueSet-serum-creatinine.md), [TotalBilirubin](ValueSet-total-bilirubin.md) and [TumorSizeObservations](ValueSet-tumor-size-observations.md)


* This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact [https://www.snomed.org/get-snomed](https://www.snomed.org/get-snomed) or [info@snomed.org](mailto:info@snomed.org).

* [SNOMED Clinical Terms&reg; (SNOMED CT&reg;)](http://hl7.org/fhir/R4/codesystem-snomedct.html): [ChemoRadiationBreastResection](ValueSet-chemo-radiation-breast-resection.md), [CoreNeedleBiopsy](ValueSet-core-needle-biopsy.md), [HistologicTest](ValueSet-histologic-test.md), [NCT01980823EligibilityCriteria](Library-NCT01980823EligibilityCriteria.md) and [TumorSizeObservations](ValueSet-tumor-size-observations.md)


* This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: [https://terminology.hl7.org/license.html](https://terminology.hl7.org/license.html)

* [LibraryType](http://terminology.hl7.org/7.2.0/CodeSystem-library-type.html): [AdultOutpatientEncounters](Library-AdultOutpatientEncounters.md), [AdvancedIllnessandFrailty](Library-AdvancedIllnessandFrailty.md)... Show 24 more, [BreastCancerScreeningDQMDraft](Library-BreastCancerScreeningDQMDraft.md), [C4BBCommon](Library-C4BBCommon.md), [CAUTIElements](Library-CAUTIElements.md), [CAUTIParameters](Library-CAUTIParameters.md), [CAUTIRate](Library-CAUTIRate.md), [CAUTISIR](Library-CAUTISIR.md), [HOB](Library-HOB.md), [HOBOrganismTaxonomy](Library-HOBOrganismTaxonomy.md), [Hospice](Library-Hospice.md), [ImagingStudyFeasibilityTest](Library-ImagingStudyFeasibilityTest.md), [Measure/CAUTIRateExample](Measure-CAUTIRateExample.md), [Measure/CAUTISIRExample](Measure-CAUTISIRExample.md), [Measure/StratificationEncounterExample](Measure-StratificationEncounterExample.md), [Measure/StratificationPatientExample](Measure-StratificationPatientExample.md), [Measure/SupportingEvidenceExample](Measure-SupportingEvidenceExample.md), [NCT01980823EligibilityCriteria](Library-NCT01980823EligibilityCriteria.md), [PalliativeCare](Library-PalliativeCare.md), [PatientCommon](Library-PatientCommon.md), [QICoreCommon](Library-QICoreCommon.md), [Status](Library-Status.md), [StratificationEncounterExample](Library-StratificationEncounterExample.md), [StratificationPatientExample](Library-StratificationPatientExample.md), [SupplementalDataElements](Library-SupplementalDataElements.md) and [SupportingEvidenceExample](Library-SupportingEvidenceExample.md)
* [Measure Aggregate Method](http://terminology.hl7.org/7.2.0/CodeSystem-measure-aggregate-method.html): [Measure/CAUTIRateExample](Measure-CAUTIRateExample.md) and [Measure/CAUTISIRExample](Measure-CAUTISIRExample.md)
* [Measure Population Type](http://terminology.hl7.org/7.2.0/CodeSystem-measure-population.html): [Measure/BreastCancerScreeningDQMDraft](Measure-BreastCancerScreeningDQMDraft.md), [Measure/CAUTIRateExample](Measure-CAUTIRateExample.md)... Show 4 more, [Measure/CAUTISIRExample](Measure-CAUTISIRExample.md), [Measure/StratificationEncounterExample](Measure-StratificationEncounterExample.md), [Measure/StratificationPatientExample](Measure-StratificationPatientExample.md) and [Measure/SupportingEvidenceExample](Measure-SupportingEvidenceExample.md)
* [Measure Scoring](http://terminology.hl7.org/7.2.0/CodeSystem-measure-scoring.html): [Measure/CAUTIRateExample](Measure-CAUTIRateExample.md) and [Measure/CAUTISIRExample](Measure-CAUTISIRExample.md)


* Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.

* [RxNorm](http://terminology.hl7.org/6.5.0/CodeSystem-v3-rxNorm.html): [DiabetesHypercholesterolemiaMedications](ValueSet-diabetes-hypercholesterolemia-medications.md) and [StrongCYP3A4Inhibitors](ValueSet-strong-cyp3a4-inhibitors.md)




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      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "default-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-binary"
      },
      {
        "url" : "value",
        "valueString" : "input/cql"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid-ig"
      },
      {
        "url" : "value",
        "valueString" : "templates\\liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-expansion-params"
      },
      {
        "url" : "value",
        "valueString" : "resources/parameters/Parameters-manifest.json"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-all"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-manifest"
      },
      {
        "url" : "value",
        "valueString" : "manifest"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-external"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludettl"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "https://madie.cms.gov/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/manifest"
      },
      "name" : "Expansion Parameters",
      "description" : "The expansion parameters resource for this implementation guide, specifying SNOMED Edition and version. This resource will be included in the published implementation guide with all pinned references.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/CustomSearchParameter"
      },
      "name" : "CustomSearchParameter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/DefaultSearchParameter"
      },
      "name" : "DefaultSearchParameter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/DefaultSearchParameterWithValueSet"
      },
      "name" : "DefaultSearchParameterWithValueSet"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlinePatientWithAgeRange"
      },
      "name" : "InlinePatientWithAgeRange"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlinePatientWithAgeRangeAndEncounter"
      },
      "name" : "InlinePatientWithAgeRangeAndEncounter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlinePatientWithEncounter"
      },
      "name" : "InlinePatientWithEncounter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlineUSPatientWithAgeRange"
      },
      "name" : "InlineUSPatientWithAgeRange"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlineUSPatientWithAgeRangeAndEncounter"
      },
      "name" : "InlineUSPatientWithAgeRangeAndEncounter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/InlineUSPatientWithEncounter"
      },
      "name" : "InlineUSPatientWithEncounter"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Group"
      }],
      "reference" : {
        "reference" : "Group/NCT01980823EligibilityCriteriaGroup"
      },
      "name" : "NCT01980823EligibilityCriteria"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/AdultOutpatientEncounters"
      },
      "name" : "Adult Outpatient Encounters",
      "description" : "Adult outpatient encounters logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/AdvancedIllnessandFrailty"
      },
      "name" : "Advanced Illness and Frailty",
      "description" : "AdvancedIllnessandFrailty logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/BreastCancerScreeningDQMDraft"
      },
      "name" : "Breast Cancer Screening DQM Draft",
      "description" : "BreastCancerScreeningDQMDraft logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/C4BBCommon"
      },
      "name" : "Carin Blue Button Common",
      "description" : "Common terminologies and functions used in Carin Blue Button CQL artifacts."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIElements"
      },
      "name" : "CAUTI Elements",
      "description" : "DRAFT Data elements used in the calculation of NHSN Catheter-associated Urinary Tract Infection measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIParameters"
      },
      "name" : "CAUTI Parameters",
      "description" : "DRAFT model parameters used in the calculation of NHSN Catheter-associated Urinary Tract Infection measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIRate"
      },
      "name" : "CAUTI Rate",
      "description" : "DRAFT population criteria and continuous-variable functions used in the calculation of NHSN Catheter-associated Urinary Tract Infection Rates measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTISIR"
      },
      "name" : "CAUTI Standardized Infection Ratio (SIR)",
      "description" : "DRAFT population criteria and continuous-variable functions used in the calculation of NHSN Catheter-associated Urinary Tract Infection Standardized Infection Ratio measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/HOB"
      },
      "name" : "HOB Elements",
      "description" : "DRAFT Data elements used in the calculation of Hospital-onset Bacteremia and Fungemia measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/HOBOrganismTaxonomy"
      },
      "name" : "HOB Organism Taxonomy Logic",
      "description" : "DRAFT Data elements used to determine organism taxonomy as part of the calculation of Hospital-onset Bacteremia and Fungemia measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Hospice"
      },
      "name" : "Hospice",
      "description" : "Hospice logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/ImagingStudyFeasibilityTest"
      },
      "name" : "ImagingStudyFeasibilityTest",
      "description" : "Imaging Study Feasibility Test"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/NCT01980823EligibilityCriteria"
      },
      "name" : "NCT01980823 Eligibility Criteria",
      "description" : "NCT01980823 Eligibility Criteria"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/PalliativeCare"
      },
      "name" : "Palliative Care",
      "description" : "PalliativeCare logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/PatientCommon"
      },
      "name" : "Patient Common",
      "description" : "PatientCommon logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/QICoreCommon"
      },
      "name" : "QI Core Common",
      "description" : "Common terminologies and functions used in QICore-based CQL artifacts."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Status"
      },
      "name" : "Status",
      "description" : "Status logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/StratificationEncounterExample"
      },
      "name" : "Stratification Encounter Example",
      "description" : "StratificationEncounterExample logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/StratificationPatientExample"
      },
      "name" : "Stratification Patient Example",
      "description" : "StratificationPatientExample logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/SupplementalDataElements"
      },
      "name" : "Supplemental Data Elements",
      "description" : "SupplementalDataElements logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/SupportingEvidenceExample"
      },
      "name" : "Supporting Evidence Example",
      "description" : "SupportingEvidenceExample logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/BreastCancerScreeningDQMDraft"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/CAUTIRateExample"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/CAUTISIRExample"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/StratificationEncounterExample"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/StratificationPatientExample"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/SupportingEvidenceExample"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/alkaline-phosphatase"
      },
      "name" : "Alkaline Phosphatase Lab Tests",
      "description" : "LOINC codes for alkaline phosphatase laboratory observations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/alt-lab-tests"
      },
      "name" : "Alanine Transaminase (ALT/SGPT) Lab Tests",
      "description" : "LOINC codes for ALT (SGPT) laboratory observations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/ast-lab-tests"
      },
      "name" : "Aspartate Transaminase (AST/SGOT) Lab Tests",
      "description" : "LOINC codes for AST (SGOT) laboratory observations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/chemo-radiation-breast-resection"
      },
      "name" : "Chemotherapy, Radiation Therapy, or Breast Resection Procedures",
      "description" : "Procedures indicating prior chemotherapy, radiation therapy, or breast resection"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/core-needle-biopsy"
      },
      "name" : "Core Needle Biopsy Procedures",
      "description" : "SNOMED-CT and CPT codes for core needle biopsy procedures"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/diabetes-hypercholesterolemia-medications"
      },
      "name" : "Medications for Diabetes or Hypercholesterolemia",
      "description" : "RxNorm codes for medications used to treat diabetes or hypercholesterolemia"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/histologic-test"
      },
      "name" : "Histologic Test Methods",
      "description" : "SNOMED-CT codes for histologic examination methods used to confirm diagnosis"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/serum-creatinine"
      },
      "name" : "Serum Creatinine Lab Tests",
      "description" : "LOINC codes for serum creatinine laboratory observations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/strong-cyp3a4-inhibitors"
      },
      "name" : "Strong CYP3A4 Inhibitor Medications",
      "description" : "RxNorm codes for strong CYP3A4 inhibitors that may interact with atorvastatin, including clarithromycin, HIV protease inhibitors, and itraconazole"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/total-bilirubin"
      },
      "name" : "Total Bilirubin Lab Tests",
      "description" : "LOINC codes for total bilirubin laboratory observations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/tumor-size-observations"
      },
      "name" : "Tumor Size Observations",
      "description" : "LOINC and SNOMED-CT codes for observations recording tumor size, used in pathology and imaging reports"
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "libraries.html"
        }],
        "nameUrl" : "libraries.html",
        "title" : "Libraries",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "measures.html"
        }],
        "nameUrl" : "measures.html",
        "title" : "Measures",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "license.html"
        }],
        "nameUrl" : "license.html",
        "title" : "License",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-pages",
      "value" : "input/pagecontent"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/library"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/group"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/measure"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/parameters"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary/valueset"
    },
    {
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
