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: CMS177FHIRChildMDDSuicideAssmt

Official URL: https://madie.cms.gov/Library/CMS177FHIRChildMDDSuicideAssmt Version: 1.0.000
Active as of 2025-08-22 Responsible: Mathematica Computable Name: CMS177FHIRChildMDDSuicideAssmt
Other Identifiers: https://madie.cms.gov/login#CMS177FHIRChildMDDSuicideAssmt (use: official, )

CMS177FHIRChildMDDSuicideAssmt

Metadata
Title CMS177FHIRChildMDDSuicideAssmt
Version 1.0.000
Identifier CMS177FHIRChildMDDSuicideAssmt
Steward (Publisher) Mathematica
Description

CMS177FHIRChildMDDSuicideAssmt
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: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Major Depressive Disorder Active
Data Requirement Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: Major Depressive Disorder Active
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Outpatient Consultation
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Psych Visit Diagnostic Evaluation
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Psych Visit for Family Psychotherapy
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Psych Visit Psychotherapy
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Psychoanalysis
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Group Psychotherapy
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Telephone Visits
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, status, status.value, performed
Code Filter(s):
Path: code
Code(s): SNOMED CT: 225337009 (Suicide risk assessment (procedure))
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 225337009 (Suicide risk assessment (procedure))
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code
Code Filter(s):
Path: code
Code(s): SNOMED CT: 225337009 (Suicide risk assessment (procedure))
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
SDE Ethnicity Out 0..1 Resource
SDE Payer Out 0..* Resource
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Encounter With Condition Major Depressive Disorder Out 0..* Resource
Encounter With Reason Major Depressive Disorder Out 0..* Resource
Major Depressive Disorder Encounter Out 0..* Resource
Initial Population Out 0..* Resource
Denominator Out 0..* Resource
Encounter With Procedure For Suicide Risk Assessment Out 0..* Resource
Encounter With Observation For Suicide Risk Assessment Out 0..* Resource
Numerator Out 0..* Resource
Library Content
CQL Content 
library CMS177FHIRChildMDDSuicideAssmt version '1.0.000'

using QICore version '6.0.0'

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

codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Group Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1187'
valueset "Major Depressive Disorder Active": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1491'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset "Psych Visit Diagnostic Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset "Psych Visit for Family Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1018'
valueset "Psych Visit Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset "Psychoanalysis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'

code "Suicide risk assessment (procedure)": '225337009' from "SNOMEDCT" display 'Suicide risk assessment (procedure)'

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

context Patient

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 "Initial Population":
  "Major Depressive Disorder Encounter" MDDEncounter
    where ( "AgeInYearsAt"(date from start of "Measurement Period") >= 6
        and "AgeInYearsAt"(date from start of "Measurement Period") <= 16
    )

define "Denominator":
  "Initial Population"

define "Numerator":
  "Encounter With Procedure For Suicide Risk Assessment"
    union "Encounter With Observation For Suicide Risk Assessment"

define "Encounter With Procedure For Suicide Risk Assessment":
  "Major Depressive Disorder Encounter" MDDEncounter
    with ["Procedure": "Suicide risk assessment (procedure)"] SuicideRiskAssessmentProcedure
      such that SuicideRiskAssessmentProcedure.status = 'completed'
        and SuicideRiskAssessmentProcedure.performed.toInterval ( ) during MDDEncounter.period

define "Encounter With Observation For Suicide Risk Assessment":
  "Major Depressive Disorder Encounter" MDDEncounter
    with ( ["ObservationScreeningAssessment": "Suicide risk assessment (procedure)"]
      union ["ObservationClinicalResult": "Suicide risk assessment (procedure)"] ) ObservationSuicideRiskAssmt
      such that ObservationSuicideRiskAssmt.effective.toInterval ( ) during MDDEncounter.period
        and ObservationSuicideRiskAssmt.status in { 'final', 'corrected', 'amended' }

define "Major Depressive Disorder Encounter":
  "Encounter With Condition Major Depressive Disorder"
    union "Encounter With Reason Major Depressive Disorder"

define "Encounter With Condition Major Depressive Disorder":
  ( ["Encounter": "Office Visit"]
    union ["Encounter": "Outpatient Consultation"]
    union ["Encounter": "Psych Visit Diagnostic Evaluation"]
    union ["Encounter": "Psych Visit for Family Psychotherapy"]
    union ["Encounter": "Psych Visit Psychotherapy"]
    union ["Encounter": "Psychoanalysis"]
    union ["Encounter": "Group Psychotherapy"]
    union ["Encounter": "Telephone Visits"] ) ValidEncounter
    where ValidEncounter.status = 'finished'
      and ValidEncounter.period during day of "Measurement Period"
      and exists ( ( ["ConditionProblemsHealthConcerns": "Major Depressive Disorder Active"] MDDConditionProb
            where ValidEncounter.reasonReference.references ( MDDConditionProb )
        )
          union ( ["ConditionEncounterDiagnosis": "Major Depressive Disorder Active"] MDDEncDx
              where ValidEncounter.reasonReference.references ( MDDEncDx )
          )
      )

define "Encounter With Reason Major Depressive Disorder":
  ( ["Encounter": "Office Visit"]
    union ["Encounter": "Outpatient Consultation"]
    union ["Encounter": "Psych Visit Diagnostic Evaluation"]
    union ["Encounter": "Psych Visit for Family Psychotherapy"]
    union ["Encounter": "Psych Visit Psychotherapy"]
    union ["Encounter": "Psychoanalysis"]
    union ["Encounter": "Group Psychotherapy"]
    union ["Encounter": "Telephone Visits"] ) ValidEncounter
    where ValidEncounter.status = 'finished'
      and ValidEncounter.period during day of "Measurement Period"
      and ( ValidEncounter.reasonCode in "Major Depressive Disorder Active" )
ELM XML Content 
Encoded data
ELM JSON Content 
Encoded data
Citations and References
Dependency Description: Library SDE
Resource: SupplementalDataElements version: 5.1.000
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
Dependency Description: Library QICoreCommon
Resource: QICoreCommon version: 4.0.000
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Dependency Description: Library 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: Code system SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
Dependency Description: Value set Group Psychotherapy
Resource: Group Psychotherapy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1187
Dependency Description: Value set Major Depressive Disorder Active
Resource: Major Depressive Disorder Active
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1491
Dependency Description: Value set Office Visit
Resource: Office Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Dependency Description: Value set Outpatient Consultation
Resource: Outpatient Consultation
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008
Dependency Description: Value set Psych Visit Diagnostic Evaluation
Resource: Psych Visit Diagnostic Evaluation
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492
Dependency Description: Value set Psych Visit for Family Psychotherapy
Resource: Psych Visit for Family Psychotherapy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1018
Dependency Description: Value set Psych Visit Psychotherapy
Resource: Psych Visit Psychotherapy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496
Dependency Description: Value set Psychoanalysis
Resource: Psychoanalysis
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141
Dependency Description: Value set Telephone Visits
Resource: Telephone Visits
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
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