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: CMS1206FHIRCTOQR

Official URL: https://madie.cms.gov/Library/CMS1206FHIRCTOQR Version: 1.0.000
Active as of 2025-08-25 Responsible: Alara Imaging, Inc. Computable Name: CMS1206FHIRCTOQR
Other Identifiers: https://madie.cms.gov/login#CMS1206FHIRCTOQR (use: official, )

CMS1206FHIRCTOQR

Metadata
Title CMS1206FHIRCTOQR
Version 1.0.000
Identifier CMS1206FHIRCTOQR
Steward (Publisher) Alara Imaging, Inc.
Description

CMS1206FHIRCTOQR
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: 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
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)
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
Qualified Scan Out 0..* Resource
Qualified Scan Without Inpatient Encounter Out 0..* Resource
Qualified Scan With Values Out 0..* Resource
Denominator Out 0..* Resource
Denominator Exclusion Out 0..* Resource
Initial Population Out 0..* Resource
Numerator 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
Library Content
CQL Content 
library CMS1206FHIRCTOQR 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 "Denominator":
  "Qualified Scan With Values"

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

define "Initial Population":
  "Qualified Scan Without Inpatient Encounter"

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

define "Qualified Scan With Values":
  "Qualified Scan Without Inpatient Encounter" CTScan
    where CTScan.globalNoiseValue ( ) is not null
      and CTScan.sizeAdjustedValue ( ) is not null
      and CTScan.value is not null

define "Qualified Scan Without Inpatient Encounter":
  "Qualified Scan" QualifiedCTScan
    without [Encounter: "Encounter Inpatient"] InpatientEncounter
      such that InpatientEncounter.status ~ 'finished'
        and InpatientEncounter.period ends during day of "Measurement Period"
        and QualifiedCTScan.effective.toInterval ( ) starts during InpatientEncounter.period

define "Qualified Scan":
  [ObservationClinicalResult: "CT dose and image quality category"] CTScanResult
    where CTScanResult.status in { 'final', 'amended', 'corrected' }
      and CTScanResult.effective.toInterval ( ) 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"
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