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 - XML Representation

Page standards status: Informative Maturity Level: 1

Raw xml | Download


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