Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build

Draft dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2025/ and changes regularly. See the Directory of published versions

: AdultOutpatientEncounters - XML Representation

Active as of 2025-07-25

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="AdultOutpatientEncounters"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header"><a name="metadata"> </a>Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">AdultOutpatientEncounters</td>


</tr>





<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">5.1.000</td>


</tr>



























<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">FHIR
</td>


</tr>

<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">CQL
</td>


</tr>








<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">National Committee for Quality Assurance</td>


</tr>







<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>This library contains a definition used to identify denominator qualifying encounters.</p>
</div></td>


</tr>









<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    <a href="http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a>#logic-library


</td>


</tr>













<tr>


<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>


</tr>


<tr>


<th scope="row" class="row-header">Parameter</th>



<td class="content-container">None</td>


</tr>








  <tr>


<th colspan="2" scope="row" class="row-header">Library Content</th>


</tr>
  
    
    <tr>
      <th scope="row" class="row-header">CQL Content</th>
      <td>
        <a name="cql-content"> </a>
        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library AdultOutpatientEncounters version '5.1.000'

using USQualityCore version '0.1.0-cibuild'
using USCore version '6.1.0-derived'
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 '2.1.000'

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

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00, @2026-12-31T23:59:59]

context Patient

// NOTE: The USQualityCore encounter here is not introducing any constraints, and so could be expressed directly using US Core
define &quot;Qualifying Encounters&quot;:
  ( ( 
    [USQualityCore.Encounter: &quot;Office Visit&quot;]
      union [USQualityCore.Encounter: &quot;Annual Wellness Visit&quot;]
      union [USQualityCore.Encounter: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
      union [USQualityCore.Encounter: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
      union [USQualityCore.Encounter: &quot;Home Healthcare Services&quot;]
      union [USQualityCore.Encounter: &quot;Virtual Encounter&quot;]
      union [USQualityCore.Encounter: &quot;Telephone Visits&quot;] 
    ).isEncounterPerformed() 
  ) ValidEncounter
    where ValidEncounter.period during day of &quot;Measurement Period&quot;</code></pre>
      </td>
    </tr>
    
  



<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <url value="https://madie.cms.gov/Library/AdultOutpatientEncounters"/>
  <version value="5.1.000"/>
  <name value="AdultOutpatientEncounters"/>
  <title value="AdultOutpatientEncounters"/>
  <status value="active"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2025-07-25T20:59:55+00:00"/>
  <publisher value="National Committee for Quality Assurance"/>
  <description
               value="This library contains a definition used to identify denominator qualifying encounters."/>
  <topic>
    <text value="FHIR"/>
  </topic>
  <topic>
    <text value="CQL"/>
  </topic>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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"/>
    <url value="https://madie.cms.gov/Library-AdultOutpatientEncounters.cql"/>
  </content>
</Library>