dQM QICore Content Implementation Guide
2026.0.0 - CI Build

dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.0.0 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-2026/ and changes regularly. See the Directory of published versions

Library: Adult Outpatient Encounters

Official URL: https://madie.cms.gov/Library/AdultOutpatientEncounters Version: 2026.0.0
Standards status: Informative Maturity Level: 1 Computable Name: AdultOutpatientEncounters

Adult outpatient encounters logic.

Metadata
Title Adult Outpatient Encounters
Version 2026.0.0
Topic FHIR
Topic CQL
Description

Adult outpatient encounters logic.
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Patient
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: Qualifying Encounters
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Annual Wellness Visit
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Home Healthcare Services
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Virtual Encounter
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Code Filter(s):
Path: type
ValueSet: Telephone Visits
Library Content
CQL Content 
/*
NOTE: For use by January 2026 Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library AdultOutpatientEncounters version '5.0.000'

using QICore version '7.0.2'
using USCore version '7.0.0'
using FHIR version '4.0.1'

include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers
include hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon
include Status version '2.0.000'

valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240' 
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016' 
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001' 
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089' 
valueset "Preventive Care Services Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025' 
valueset "Preventive Care Services Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023' 
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080' 

parameter "Measurement Period" Interval<DateTime>

context Patient

// NOTE: The QICore encounter here is not introducing any constraints, and so could be expressed directly using US Core
define "Qualifying Encounters":
  ( ( [QICore.Encounter: "Office Visit"]
    union [QICore.Encounter: "Annual Wellness Visit"]
    union [QICore.Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]
    union [QICore.Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]
    union [QICore.Encounter: "Home Healthcare Services"]
    union [QICore.Encounter: "Virtual Encounter"]
    union [QICore.Encounter: "Telephone Visits"] ).isEncounterPerformed() ) ValidEncounter
    where ValidEncounter.period during day of "Measurement Period"
ELM XML Content 
Encoded data (30036 characters)
ELM JSON Content 
Encoded data (54024 characters)
Generated using version 0.5.0 of the sample-content-ig Liquid templates