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

## Home

Official URL: https://madie.cms.gov/ImplementationGuide/cms.madie | Version: 2026.0.0
Draft as of 2025-12-02 | Computable Name: DQMContentQICore

### Introduction

This implementation guide is a collection of draft FHIR-based electronic Clinical Quality Measures (eCQM) that conform to the FHIR Quality Measure IG

> NOTE: The measures in this implementation guide are works in progress and should not be considered final specifications or recommendations for guidance. The examples will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community.

### Content

This implementation guides contains electronic Clinical Quality Measure (eCQM) specifications, published as FHIR Measure and Library resources.

For a complete listing of the Measures in this IG, refer to the Measures page.

### Dependencies

IG | Package | FHIR
--- | --- | ---
dQM QICore Content Implementation Guide | cms.madie#2026.0.0 | R4
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4
Using CQL With FHIR | hl7.fhir.uv.cql#2.0.0 | R4
Common CQL Artifacts for FHIR (US-Based) | hl7.fhir.us.cql#current | R4
QI-Core Implementation Guide | hl7.fhir.us.qicore#current | R4
Quality Measure Implementation Guide | hl7.fhir.uv.cqm#1.0.0 | R4
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#0.9.0 | R4

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (cms.madie.r4) and R4B (cms.madie.r4b) are available.

### Global Profiles

Global Profiles:

Type | Source | Profile
Encounter | hl7.fhir.us.qicore#current | QICore Encounter
Immunization | hl7.fhir.us.qicore#current | QICore Immunization
Observation | hl7.fhir.us.qicore#current | QICore Simple Observation
Organization | hl7.fhir.us.qicore#current | QICore Organization
Patient | hl7.fhir.us.qicore#current | QICore Patient
Practitioner | hl7.fhir.us.qicore#current | QICore Practitioner
PractitionerRole | hl7.fhir.us.qicore#current | QICore PractitionerRole

All resources of these types must conform to these profiles.

### IP Statements

This publication includes IP covered under the following statements.

- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: AdvancedIllnessandFrailty, Hospice and PalliativeCare
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - LibraryType: AdultOutpatientEncounters, AdvancedIllnessandFrailty... Show 15 more, BreastCancerScreeningDQMDraft, C4BBCommon, Hospice, Measure/BreastCancerScreeningDQMDraft, Measure/StratificationEncounterExample, Measure/StratificationPatientExample, Measure/SupportingEvidenceExample, PalliativeCare, PatientCommon, QICoreCommon, Status, StratificationEncounterExample, StratificationPatientExample, SupplementalDataElements and SupportingEvidenceExample
  - Measure Population Type: Measure/BreastCancerScreeningDQMDraft, Measure/StratificationEncounterExample, Measure/StratificationPatientExample and Measure/SupportingEvidenceExample