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

: AdvancedIllnessandFrailty - XML Representation

Active as of 2025-07-25

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="AdvancedIllnessandFrailty"/>
  <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">AdvancedIllnessandFrailty</td>


</tr>





<tr>


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



<td class="content-container">2.1.000</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 definitions used to exclude patients 66 and older with an indication of frailty who also meet advanced illness criteria, and patients 66 and older who are living long term in a nursing home.</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 AdvancedIllnessandFrailty version '2.1.000'

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 hl7.fhir.us.cql.CumulativeMedicationDuration version '2.0.0-ballot' called CMD

include Status version '2.1.000' called Status

codesystem &quot;LOINC&quot;: 'http://loinc.org'
codesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'

valueset &quot;Advanced Illness&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082'
valueset &quot;Dementia Medications&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
valueset &quot;Frailty Device&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300'
valueset &quot;Frailty Diagnosis&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074'
valueset &quot;Frailty Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088'
valueset &quot;Frailty Symptom&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075'
 
code &quot;Housing status&quot;: '71802-3' from &quot;LOINC&quot; display 'Housing status'
code &quot;Lives in nursing home (finding)&quot;: '160734000' from &quot;SNOMEDCT&quot; display 'Lives in nursing home (finding)'
code &quot;Medical equipment used&quot;: '98181-1' from &quot;LOINC&quot; display 'Medical equipment used'

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;

context Patient

define &quot;Is Age 66 or Older with Advanced Illness and Frailty&quot;:
   AgeInYearsAt(date from end of &quot;Measurement Period&quot;) &gt;= 66
    and &quot;Has Criteria Indicating Frailty&quot;
    and ( &quot;Has Advanced Illness in Year Before or During Measurement Period&quot;
        or &quot;Has Dementia Medications in Year Before or During Measurement Period&quot;
    )

define &quot;Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty&quot;:
  ( AgeInYearsAt(date from end of &quot;Measurement Period&quot;) in Interval[66, 80]
      and &quot;Has Criteria Indicating Frailty&quot;
      and ( &quot;Has Advanced Illness in Year Before or During Measurement Period&quot;
          or &quot;Has Dementia Medications in Year Before or During Measurement Period&quot;
      )
  )
    or ( AgeInYearsAt(date from end of &quot;Measurement Period&quot;)&gt;= 81
        and &quot;Has Criteria Indicating Frailty&quot;
    )

define &quot;Has Criteria Indicating Frailty&quot;:
  exists ( (([USQualityCore.DeviceRequest: &quot;Frailty Device&quot;]).isDeviceOrderPersonalUseDevices()) FrailtyDeviceOrder
      where FrailtyDeviceOrder.authoredOn.toInterval() during day of &quot;Measurement Period&quot;
  )
    or exists ( (([ObservationScreeningAssessment: &quot;Medical equipment used&quot;]).isAssessmentPerformed()) EquipmentUsed
        where EquipmentUsed.value as CodeableConcept in &quot;Frailty Device&quot; 
        and EquipmentUsed.effective.toInterval() ends during day of &quot;Measurement Period&quot;
    )
    // TODO: Consider whether to keep this as the union of problems and encounter diagnoses
    or exists ( (([FHIR.Condition: &quot;Frailty Diagnosis&quot;]).verified()) FrailtyDiagnosis
        where FrailtyDiagnosis.prevalenceInterval() overlaps day of &quot;Measurement Period&quot;
    )
    or exists ( (([USQualityCore.Encounter: &quot;Frailty Encounter&quot;]).isEncounterPerformed()) FrailtyEncounter
        where FrailtyEncounter.period overlaps day of &quot;Measurement Period&quot;
    )
    or exists ( (([USQualityCore.SimpleObservation: &quot;Frailty Symptom&quot;]).isSymptom()) FrailtySymptom
        where FrailtySymptom.effective.toInterval() overlaps day of &quot;Measurement Period&quot;
    )

define &quot;Has Advanced Illness in Year Before or During Measurement Period&quot;:
// TODO: Consider whether to keep this as the union of problems and encounter diagnoses
exists ((([Condition: &quot;Advanced Illness&quot;]).verified()) AdvancedIllnessDiagnosis
where AdvancedIllnessDiagnosis.prevalenceInterval() starts during day of Interval[start of &quot;Measurement Period&quot; - 1 year, end of &quot;Measurement Period&quot;])

define &quot;Has Dementia Medications in Year Before or During Measurement Period&quot;:
  exists (( ([FHIR.MedicationRequest: &quot;Dementia Medications&quot;]).isMedicationActive()) DementiaMedication
      where DementiaMedication.medicationRequestPeriod() overlaps day of Interval[start of &quot;Measurement Period&quot; - 1 year, 
        end of &quot;Measurement Period&quot;]
  )

define &quot;Is Age 66 or Older Living Long Term in a Nursing Home&quot;:
  AgeInYearsAt(date from end of &quot;Measurement Period&quot;) &gt;= 66
    and ( ( Last( (([ObservationScreeningAssessment: &quot;Housing status&quot;]).isAssessmentPerformed()) HousingStatus    
          where HousingStatus.effective.toInterval() ends on or before 
          day of end of &quot;Measurement Period&quot;
          sort by 
          end of effective.toInterval() asc
      )) LastHousingStatus
        where LastHousingStatus.value ~ &quot;Lives in nursing home (finding)&quot;
    ) is not null
  </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/AdvancedIllnessandFrailty"/>
  <version value="2.1.000"/>
  <name value="AdvancedIllnessandFrailty"/>
  <title value="AdvancedIllnessandFrailty"/>
  <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="2025-07-25T20:45:52+00:00"/>
  <publisher value="National Committee for Quality Assurance"/>
  <description
               value="This library contains definitions used to exclude patients 66 and older with an indication of frailty who also meet advanced illness criteria, and patients 66 and older who are living long term in a nursing home."/>
  <topic>
    <text value="FHIR"/>
  </topic>
  <topic>
    <text value="CQL"/>
  </topic>
  <content>
    <contentType value="text/cql"/>
    <data
          value="LyoKTk9URTogRm9yIHVzZSBieSBNYXJjaCAyMDI2IFVTIFJlYWxtIENvbm5lY3RhdGhvbiBwYXJ0aWNpcGFudHMgZm9yIGludGVybmFsIHVzZSBvbmx5LiBOb3QgZm9yIHVzZSBvciBkaXN0cmlidXRpb24gaW4gY29tbWVyY2lhbCBwcm9kdWN0cy4KKi8KbGlicmFyeSBBZHZhbmNlZElsbG5lc3NhbmRGcmFpbHR5IHZlcnNpb24gJzIuMS4wMDAnCgp1c2luZyBVU1F1YWxpdHlDb3JlIHZlcnNpb24gJzAuMS4wLWNpYnVpbGQnCnVzaW5nIFVTQ29yZSB2ZXJzaW9uICc2LjEuMC1kZXJpdmVkJwp1c2luZyBGSElSIHZlcnNpb24gJzQuMC4xJwoKaW5jbHVkZSBobDcuZmhpci51di5jcWwuRkhJUkhlbHBlcnMgdmVyc2lvbiAnNC4wLjEnIGNhbGxlZCBGSElSSGVscGVycwppbmNsdWRlIGhsNy5maGlyLnV2LmNxbC5GSElSQ29tbW9uIHZlcnNpb24gJzIuMC4wJyBjYWxsZWQgRkhJUkNvbW1vbgppbmNsdWRlIGhsNy5maGlyLnVzLmNxbC5DdW11bGF0aXZlTWVkaWNhdGlvbkR1cmF0aW9uIHZlcnNpb24gJzIuMC4wLWJhbGxvdCcgY2FsbGVkIENNRAoKaW5jbHVkZSBTdGF0dXMgdmVyc2lvbiAnMi4xLjAwMCcgY2FsbGVkIFN0YXR1cwoKY29kZXN5c3RlbSAiTE9JTkMiOiAnaHR0cDovL2xvaW5jLm9yZycKY29kZXN5c3RlbSAiU05PTUVEQ1QiOiAnaHR0cDovL3Nub21lZC5pbmZvL3NjdCcKCnZhbHVlc2V0ICJBZHZhbmNlZCBJbGxuZXNzIjogJ2h0dHA6Ly9jdHMubmxtLm5paC5nb3YvZmhpci9WYWx1ZVNldC8yLjE2Ljg0MC4xLjExMzg4My4zLjQ2NC4xMDAzLjExMC4xMi4xMDgyJwp2YWx1ZXNldCAiRGVtZW50aWEgTWVkaWNhdGlvbnMiOiAnaHR0cDovL2N0cy5ubG0ubmloLmdvdi9maGlyL1ZhbHVlU2V0LzIuMTYuODQwLjEuMTEzODgzLjMuNDY0LjEwMDMuMTk2LjEyLjE1MTAnCnZhbHVlc2V0ICJGcmFpbHR5IERldmljZSI6ICdodHRwOi8vY3RzLm5sbS5uaWguZ292L2ZoaXIvVmFsdWVTZXQvMi4xNi44NDAuMS4xMTM4ODMuMy40NjQuMTAwMy4xMTguMTIuMTMwMCcKdmFsdWVzZXQgIkZyYWlsdHkgRGlhZ25vc2lzIjogJ2h0dHA6Ly9jdHMubmxtLm5paC5nb3YvZmhpci9WYWx1ZVNldC8yLjE2Ljg0MC4xLjExMzg4My4zLjQ2NC4xMDAzLjExMy4xMi4xMDc0Jwp2YWx1ZXNldCAiRnJhaWx0eSBFbmNvdW50ZXIiOiAnaHR0cDovL2N0cy5ubG0ubmloLmdvdi9maGlyL1ZhbHVlU2V0LzIuMTYuODQwLjEuMTEzODgzLjMuNDY0LjEwMDMuMTAxLjEyLjEwODgnCnZhbHVlc2V0ICJGcmFpbHR5IFN5bXB0b20iOiAnaHR0cDovL2N0cy5ubG0ubmloLmdvdi9maGlyL1ZhbHVlU2V0LzIuMTYuODQwLjEuMTEzODgzLjMuNDY0LjEwMDMuMTEzLjEyLjEwNzUnCiAKY29kZSAiSG91c2luZyBzdGF0dXMiOiAnNzE4MDItMycgZnJvbSAiTE9JTkMiIGRpc3BsYXkgJ0hvdXNpbmcgc3RhdHVzJwpjb2RlICJMaXZlcyBpbiBudXJzaW5nIGhvbWUgKGZpbmRpbmcpIjogJzE2MDczNDAwMCcgZnJvbSAiU05PTUVEQ1QiIGRpc3BsYXkgJ0xpdmVzIGluIG51cnNpbmcgaG9tZSAoZmluZGluZyknCmNvZGUgIk1lZGljYWwgZXF1aXBtZW50IHVzZWQiOiAnOTgxODEtMScgZnJvbSAiTE9JTkMiIGRpc3BsYXkgJ01lZGljYWwgZXF1aXBtZW50IHVzZWQnCgpwYXJhbWV0ZXIgIk1lYXN1cmVtZW50IFBlcmlvZCIgSW50ZXJ2YWw8RGF0ZVRpbWU+Cgpjb250ZXh0IFBhdGllbnQKCmRlZmluZSAiSXMgQWdlIDY2IG9yIE9sZGVyIHdpdGggQWR2YW5jZWQgSWxsbmVzcyBhbmQgRnJhaWx0eSI6CiAgIEFnZUluWWVhcnNBdChkYXRlIGZyb20gZW5kIG9mICJNZWFzdXJlbWVudCBQZXJpb2QiKSA+PSA2NgogICAgYW5kICJIYXMgQ3JpdGVyaWEgSW5kaWNhdGluZyBGcmFpbHR5IgogICAgYW5kICggIkhhcyBBZHZhbmNlZCBJbGxuZXNzIGluIFllYXIgQmVmb3JlIG9yIER1cmluZyBNZWFzdXJlbWVudCBQZXJpb2QiCiAgICAgICAgb3IgIkhhcyBEZW1lbnRpYSBNZWRpY2F0aW9ucyBpbiBZZWFyIEJlZm9yZSBvciBEdXJpbmcgTWVhc3VyZW1lbnQgUGVyaW9kIgogICAgKQoKZGVmaW5lICJJcyBBZ2UgNjYgdG8gODAgd2l0aCBBZHZhbmNlZCBJbGxuZXNzIGFuZCBGcmFpbHR5IG9yIElzIEFnZSA4MSBvciBPbGRlciB3aXRoIEZyYWlsdHkiOgogICggQWdlSW5ZZWFyc0F0KGRhdGUgZnJvbSBlbmQgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCIpIGluIEludGVydmFsWzY2LCA4MF0KICAgICAgYW5kICJIYXMgQ3JpdGVyaWEgSW5kaWNhdGluZyBGcmFpbHR5IgogICAgICBhbmQgKCAiSGFzIEFkdmFuY2VkIElsbG5lc3MgaW4gWWVhciBCZWZvcmUgb3IgRHVyaW5nIE1lYXN1cmVtZW50IFBlcmlvZCIKICAgICAgICAgIG9yICJIYXMgRGVtZW50aWEgTWVkaWNhdGlvbnMgaW4gWWVhciBCZWZvcmUgb3IgRHVyaW5nIE1lYXN1cmVtZW50IFBlcmlvZCIKICAgICAgKQogICkKICAgIG9yICggQWdlSW5ZZWFyc0F0KGRhdGUgZnJvbSBlbmQgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCIpPj0gODEKICAgICAgICBhbmQgIkhhcyBDcml0ZXJpYSBJbmRpY2F0aW5nIEZyYWlsdHkiCiAgICApCgpkZWZpbmUgIkhhcyBDcml0ZXJpYSBJbmRpY2F0aW5nIEZyYWlsdHkiOgogIGV4aXN0cyAoICgoW1VTUXVhbGl0eUNvcmUuRGV2aWNlUmVxdWVzdDogIkZyYWlsdHkgRGV2aWNlIl0pLmlzRGV2aWNlT3JkZXJQZXJzb25hbFVzZURldmljZXMoKSkgRnJhaWx0eURldmljZU9yZGVyCiAgICAgIHdoZXJlIEZyYWlsdHlEZXZpY2VPcmRlci5hdXRob3JlZE9uLnRvSW50ZXJ2YWwoKSBkdXJpbmcgZGF5IG9mICJNZWFzdXJlbWVudCBQZXJpb2QiCiAgKQogICAgb3IgZXhpc3RzICggKChbT2JzZXJ2YXRpb25TY3JlZW5pbmdBc3Nlc3NtZW50OiAiTWVkaWNhbCBlcXVpcG1lbnQgdXNlZCJdKS5pc0Fzc2Vzc21lbnRQZXJmb3JtZWQoKSkgRXF1aXBtZW50VXNlZAogICAgICAgIHdoZXJlIEVxdWlwbWVudFVzZWQudmFsdWUgYXMgQ29kZWFibGVDb25jZXB0IGluICJGcmFpbHR5IERldmljZSIgCiAgICAgICAgYW5kIEVxdWlwbWVudFVzZWQuZWZmZWN0aXZlLnRvSW50ZXJ2YWwoKSBlbmRzIGR1cmluZyBkYXkgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCIKICAgICkKICAgIC8vIFRPRE86IENvbnNpZGVyIHdoZXRoZXIgdG8ga2VlcCB0aGlzIGFzIHRoZSB1bmlvbiBvZiBwcm9ibGVtcyBhbmQgZW5jb3VudGVyIGRpYWdub3NlcwogICAgb3IgZXhpc3RzICggKChbRkhJUi5Db25kaXRpb246ICJGcmFpbHR5IERpYWdub3NpcyJdKS52ZXJpZmllZCgpKSBGcmFpbHR5RGlhZ25vc2lzCiAgICAgICAgd2hlcmUgRnJhaWx0eURpYWdub3Npcy5wcmV2YWxlbmNlSW50ZXJ2YWwoKSBvdmVybGFwcyBkYXkgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCIKICAgICkKICAgIG9yIGV4aXN0cyAoICgoW1VTUXVhbGl0eUNvcmUuRW5jb3VudGVyOiAiRnJhaWx0eSBFbmNvdW50ZXIiXSkuaXNFbmNvdW50ZXJQZXJmb3JtZWQoKSkgRnJhaWx0eUVuY291bnRlcgogICAgICAgIHdoZXJlIEZyYWlsdHlFbmNvdW50ZXIucGVyaW9kIG92ZXJsYXBzIGRheSBvZiAiTWVhc3VyZW1lbnQgUGVyaW9kIgogICAgKQogICAgb3IgZXhpc3RzICggKChbVVNRdWFsaXR5Q29yZS5TaW1wbGVPYnNlcnZhdGlvbjogIkZyYWlsdHkgU3ltcHRvbSJdKS5pc1N5bXB0b20oKSkgRnJhaWx0eVN5bXB0b20KICAgICAgICB3aGVyZSBGcmFpbHR5U3ltcHRvbS5lZmZlY3RpdmUudG9JbnRlcnZhbCgpIG92ZXJsYXBzIGRheSBvZiAiTWVhc3VyZW1lbnQgUGVyaW9kIgogICAgKQoKZGVmaW5lICJIYXMgQWR2YW5jZWQgSWxsbmVzcyBpbiBZZWFyIEJlZm9yZSBvciBEdXJpbmcgTWVhc3VyZW1lbnQgUGVyaW9kIjoKLy8gVE9ETzogQ29uc2lkZXIgd2hldGhlciB0byBrZWVwIHRoaXMgYXMgdGhlIHVuaW9uIG9mIHByb2JsZW1zIGFuZCBlbmNvdW50ZXIgZGlhZ25vc2VzCmV4aXN0cyAoKChbQ29uZGl0aW9uOiAiQWR2YW5jZWQgSWxsbmVzcyJdKS52ZXJpZmllZCgpKSBBZHZhbmNlZElsbG5lc3NEaWFnbm9zaXMKd2hlcmUgQWR2YW5jZWRJbGxuZXNzRGlhZ25vc2lzLnByZXZhbGVuY2VJbnRlcnZhbCgpIHN0YXJ0cyBkdXJpbmcgZGF5IG9mIEludGVydmFsW3N0YXJ0IG9mICJNZWFzdXJlbWVudCBQZXJpb2QiIC0gMSB5ZWFyLCBlbmQgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCJdKQoKZGVmaW5lICJIYXMgRGVtZW50aWEgTWVkaWNhdGlvbnMgaW4gWWVhciBCZWZvcmUgb3IgRHVyaW5nIE1lYXN1cmVtZW50IFBlcmlvZCI6CiAgZXhpc3RzICgoIChbRkhJUi5NZWRpY2F0aW9uUmVxdWVzdDogIkRlbWVudGlhIE1lZGljYXRpb25zIl0pLmlzTWVkaWNhdGlvbkFjdGl2ZSgpKSBEZW1lbnRpYU1lZGljYXRpb24KICAgICAgd2hlcmUgRGVtZW50aWFNZWRpY2F0aW9uLm1lZGljYXRpb25SZXF1ZXN0UGVyaW9kKCkgb3ZlcmxhcHMgZGF5IG9mIEludGVydmFsW3N0YXJ0IG9mICJNZWFzdXJlbWVudCBQZXJpb2QiIC0gMSB5ZWFyLCAKICAgICAgICBlbmQgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCJdCiAgKQoKZGVmaW5lICJJcyBBZ2UgNjYgb3IgT2xkZXIgTGl2aW5nIExvbmcgVGVybSBpbiBhIE51cnNpbmcgSG9tZSI6CiAgQWdlSW5ZZWFyc0F0KGRhdGUgZnJvbSBlbmQgb2YgIk1lYXN1cmVtZW50IFBlcmlvZCIpID49IDY2CiAgICBhbmQgKCAoIExhc3QoICgoW09ic2VydmF0aW9uU2NyZWVuaW5nQXNzZXNzbWVudDogIkhvdXNpbmcgc3RhdHVzIl0pLmlzQXNzZXNzbWVudFBlcmZvcm1lZCgpKSBIb3VzaW5nU3RhdHVzICAgIAogICAgICAgICAgd2hlcmUgSG91c2luZ1N0YXR1cy5lZmZlY3RpdmUudG9JbnRlcnZhbCgpIGVuZHMgb24gb3IgYmVmb3JlIAogICAgICAgICAgZGF5IG9mIGVuZCBvZiAiTWVhc3VyZW1lbnQgUGVyaW9kIgogICAgICAgICAgc29ydCBieSAKICAgICAgICAgIGVuZCBvZiBlZmZlY3RpdmUudG9JbnRlcnZhbCgpIGFzYwogICAgICApKSBMYXN0SG91c2luZ1N0YXR1cwogICAgICAgIHdoZXJlIExhc3RIb3VzaW5nU3RhdHVzLnZhbHVlIH4gIkxpdmVzIGluIG51cnNpbmcgaG9tZSAoZmluZGluZykiCiAgICApIGlzIG5vdCBudWxsCiAg"/>
    <url value="https://madie.cms.gov/Library-AdvancedIllnessandFrailty.cql"/>
  </content>
</Library>