dQM QICore Content Implementation Guide
2025.0.0 - CI Build

dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

Library: CMS1074FHIRCTIQR

Official URL: https://madie.cms.gov/Library/CMS1074FHIRCTIQR Version: 1.0.000
Active as of 2025-08-25 Responsible: Alara Imaging, Inc. Computable Name: CMS1074FHIRCTIQR
Other Identifiers: https://madie.cms.gov/login#CMS1074FHIRCTIQR (use: official, )

CMS1074FHIRCTIQR

Metadata
Title CMS1074FHIRCTIQR
Version 1.0.000
Identifier CMS1074FHIRCTIQR
Steward (Publisher) Alara Imaging, Inc.
Description

CMS1074FHIRCTIQR
Type http://terminology.hl7.org/CodeSystem/library-type#logic-library
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code, status, status.value, effective
Code Filter(s):
Path: code
Code(s): LOINC: 96914-7 (CT dose and image quality category)
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
Qualifying Inpatient Encounters Out 0..* Resource
SDE Ethnicity Out 0..1 Resource
SDE Payer Out 0..* Resource
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Qualifying Scan During Inpatient Encounter Out 0..* Resource
Qualifying Scan With Values Out 0..* Resource
Numerator Out 0..* Resource
Initial Population Out 0..* Resource
Denominator Out 0..* Resource
Denominator Exclusion Out 0..* Resource
Library Content
CQL Content 
library CMS1074FHIRCTIQR version '1.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include CQMCommon version '4.1.000' called CQMCommon
include QICoreCommon version '4.0.000' called QICoreCommon
include SupplementalDataElements version '5.1.000' called SDE
include AlaraCommonFunctions version '1.10.000' called AlaraCommon

codesystem "LOINC": 'http://loinc.org'

valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'

code "CT dose and image quality category": '96914-7' from "LOINC" display 'CT dose and image quality category'
code "Full Body": 'LA31771-1' from "LOINC" display 'Full Body'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define "Qualifying Inpatient Encounters":
  ["Encounter": "Encounter Inpatient"] InpatientEncounter
    where InpatientEncounter.status ~ 'finished'
      and InpatientEncounter.period ends during day of "Measurement Period"
      and AgeInYearsAt(date from start of "Measurement Period") >= 18

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex"

define "Numerator":
  "Qualifying Scan With Values" CTScanWithValues
    where CTScanWithValues.ctScanQualifies ( )

define "Initial Population":
  "Qualifying Scan During Inpatient Encounter"

define "Denominator":
  "Qualifying Scan With Values"

define "Denominator Exclusion":
  "Qualifying Scan With Values" CTScanWithValues
    where ( CTScanWithValues.value as Concept ).codes contains "Full Body"

define "Qualifying Scan With Values":
  "Qualifying Scan During Inpatient Encounter" CTScan
    where CTScan.globalNoiseValue ( ) is not null
      and CTScan.sizeAdjustedValue ( ) is not null
      and CTScan.value is not null

define "Qualifying Scan During Inpatient Encounter":
  [ObservationClinicalResult: "CT dose and image quality category"] CTScan
    with "Qualifying Inpatient Encounters" InpatientEncounters
      such that CTScan.status in { 'final', 'amended', 'corrected' }
        and CTScan.effective.toInterval ( ) starts during InpatientEncounters.period
        and CTScan.effective.toInterval ( ) ends during day of "Measurement Period"
ELM XML Content 
Encoded data
ELM JSON Content 
Encoded data
Citations and References
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpers version: 4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library CQMCommon
Resource: CQMCommon version: 4.1.000
Canonical URL: https://madie.cms.gov/Library/CQMCommon|4.1.000
Dependency Description: Library QICoreCommon
Resource: QICoreCommon version: 4.0.000
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Dependency Description: Library SDE
Resource: SupplementalDataElements version: 5.1.000
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
Dependency Description: Library AlaraCommon
Resource: AlaraCommonFunctions version: 1.10.000
Canonical URL: https://madie.cms.gov/Library/AlaraCommonFunctions|1.10.000
Dependency Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC)
Canonical URL: http://loinc.org
Dependency Description: Value set Encounter Inpatient
Resource: Encounter Inpatient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Generated using version 0.5.6 of the sample-content-ig Liquid templates