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

: Advanced Illness and Frailty - TTL Representation

Page standards status: Informative Maturity Level: 1

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "AdvancedIllnessandFrailty"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b style=\"color: maroon\">Exception generating Narrative: Malformed XHTML: Found \"&lt;/code&gt;\" expecting \"&lt;/DateTime&gt;\" at line 232 column 10</b></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 1     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "cds"     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "informative"     ]
  ] ) ; # 
  fhir:url [ fhir:v "https://madie.cms.gov/Library/AdvancedIllnessandFrailty"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2026.1.0"] ; # 
  fhir:name [ fhir:v "AdvancedIllnessandFrailty"] ; # 
  fhir:title [ fhir:v "Advanced Illness and Frailty"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "logic-library" ]     ] )
  ] ; # 
  fhir:date [ fhir:v "2026-06-16T17:19:32+00:00"^^xsd:dateTime] ; # 
  fhir:description [ fhir:v "AdvancedIllnessandFrailty logic."] ; # 
  fhir:topic ( [
fhir:text [ fhir:v "FHIR" ]
  ] [
fhir:text [ fhir:v "CQL" ]
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] ) . #