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: TJCOverall

Official URL: https://madie.cms.gov/Library/TJCOverall Version: 8.25.000
Active as of 2025-08-25 Responsible: The Joint Commission Computable Name: TJCOverall
Other Identifiers: https://madie.cms.gov/login#688cc6f9b500212afe574154 (use: official, )

Common functions and definitions used by TJC measures

Metadata
Title TJCOverall
Version 8.25.000
Identifier 688cc6f9b500212afe574154
Steward (Publisher) The Joint Commission
Description

Common functions and definitions used by TJC measures
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, period, hospitalization, hospitalization.dischargeDisposition
Code Filter(s):
Path: type
ValueSet: Nonelective Inpatient Encounter
Data Requirement Type: ServiceRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
Must Support Elements: code, status, status.value, intent, intent.value
Code Filter(s):
Path: code
ValueSet: Comfort Measures
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, status, status.value
Code Filter(s):
Path: code
ValueSet: Comfort Measures
Data Requirement Type: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Nonelective Inpatient Encounter
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
Non Elective Inpatient Encounter With Age Out 0..* Resource
Ischemic Stroke Encounter Out 0..* Resource
Ischemic Stroke Encounters With Discharge Disposition Out 0..* Resource
Intervention Comfort Measures Out 0..* Resource
Encounter With Comfort Measures During Hospitalization Out 0..* Resource
Library Content
CQL Content 
library TJCOverall version '8.25.000'

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

valueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'
valueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'
valueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'
valueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'
valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'
valueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'
valueset "Nonelective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'
valueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'

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

context Patient

define "Non Elective Inpatient Encounter With Age":
  ["Encounter": "Nonelective Inpatient Encounter"] NonElectiveEncounter
        where AgeInYearsAt(date from start of NonElectiveEncounter.period ) >= 18
         and NonElectiveEncounter.period ends during day of "Measurement Period"

define "Ischemic Stroke Encounter":
  "Non Elective Inpatient Encounter With Age" NonElectiveEncounterWithAge
   where NonElectiveEncounterWithAge.hasPrincipalDiagnosisOf("Ischemic Stroke" )

define "Ischemic Stroke Encounters With Discharge Disposition":
  "Ischemic Stroke Encounter" IschemicStrokeEncounter
  let DischDisp: IschemicStrokeEncounter.hospitalization.dischargeDisposition
  	where  DischDisp in "Discharge To Acute Care Facility"
		or DischDisp in "Left Against Medical Advice"
		or DischDisp in "Patient Expired"
		or DischDisp in "Discharged to Home for Hospice Care"
		or DischDisp in "Discharged to Health Care Facility for Hospice Care"			

define "Encounter With Comfort Measures During Hospitalization":
  "Ischemic Stroke Encounter" IschemicStrokeEncounter
    with "Intervention Comfort Measures" ComfortMeasure
     such that Coalesce(start of ComfortMeasure.performed.toInterval(), ComfortMeasure.authoredOn) during IschemicStrokeEncounter.hospitalizationWithObservation()

define "Intervention Comfort Measures":
  ( ["ServiceRequest": "Comfort Measures"] ComfortCare
    where ComfortCare.status in { 'active', 'completed', 'on-hold' }
      and ComfortCare.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
  )  
  union ( ["Procedure": "Comfort Measures"] ComfortCarePerformed
        where ComfortCarePerformed.status in { 'completed', 'in-progress' }
  )
  
define fluent function calendarDayOfOrDayAfter(StartValue DateTime):
  Interval [date from (StartValue), date from (StartValue) + 1 day]
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: Value set Comfort Measures
Resource: Comfort Measures
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
Dependency Description: Value set Discharge To Acute Care Facility
Resource: Discharge To Acute Care Facility
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87
Dependency Description: Value set Discharged to Health Care Facility for Hospice Care
Resource: Discharged to Health Care Facility for Hospice Care
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207
Dependency Description: Value set Discharged to Home for Hospice Care
Resource: Discharged to Home for Hospice Care
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209
Dependency Description: Value set Ischemic Stroke
Resource: Ischemic Stroke
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247
Dependency Description: Value set Left Against Medical Advice
Resource: Left Against Medical Advice
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308
Dependency Description: Value set Nonelective Inpatient Encounter
Resource: Nonelective Inpatient Encounter
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424
Dependency Description: Value set Patient Expired
Resource: Patient Expired
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309
Generated using version 0.5.6 of the sample-content-ig Liquid templates