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

: Antibiotic - JSON Representation

Active as of 2025-07-25

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{
  "resourceType" : "Library",
  "id" : "Antibiotic",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"metadata\"> </a>Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Antibiotic</td>\n\n\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2.1.000</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">FHIR\n</td>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">CQL\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">National Committee for Quality Assurance</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>This library contains functions used to exclude patients with a history of comorbid conditions, competing diagnoses, or antibiotic medications.</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a>#logic-library\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n\n\n<td class=\"content-container\">None</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <a name=\"cql-content\"> </a>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nNOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.\n*/\nlibrary Antibiotic version '2.1.000'\n\nusing USQualityCore version '0.1.0-cibuild'\nusing USCore version '6.1.0-derived'\nusing FHIR version '4.0.1'\n\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers\ninclude hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon\ninclude hl7.fhir.us.cql.CumulativeMedicationDuration version '2.0.0-ballot' called CMD\ninclude hl7.fhir.us.cql.USCoreCommon version '2.0.0-ballot' called USCoreCommon\ninclude hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements\n\ninclude USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine function &quot;Encounter with Comorbid Condition History&quot;(episodes List&lt;Encounter&gt;, comorbidConditions List&lt;Condition&gt;):\n  episodes episode\n      with comorbidConditions comcondition\n        such that date from start of comcondition.prevalenceInterval() during Interval[date from start of episode.period - 1 year, date from start of episode.period]\n      return episode\n\ndefine function &quot;Encounter with Competing Diagnosis History&quot;(episodes List&lt;Encounter&gt;, competingConditions List&lt;Condition&gt;):\n  episodes episode\n      with competingConditions competcondition\n        such that competcondition.prevalenceInterval() starts 3 days or less on or after day of start of episode.period\n      return episode\n\ndefine function &quot;Encounter with Antibiotic Medication History&quot;(episodes List&lt;Encounter&gt;, antibioticMedications List&lt;MedicationRequest&gt;):\n   episodes episode\n    with antibioticMedications ActiveMedication\n      such that ActiveMedication.medicationRequestPeriod() overlaps day of Interval[date from start of episode.period  - 30 days, date from start of episode.period - 1 day]</code></pre>\n      </td>\n    </tr>\n    \n  \n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
      "valueReference" : {
        "reference" : "Device/cqf-tooling"
      }
    }
  ],
  "url" : "https://madie.cms.gov/Library/Antibiotic",
  "version" : "2.1.000",
  "name" : "Antibiotic",
  "title" : "Antibiotic",
  "status" : "active",
  "experimental" : false,
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "logic-library"
      }
    ]
  },
  "date" : "2025-07-25T21:04:34+00:00",
  "publisher" : "National Committee for Quality Assurance",
  "description" : "This library contains functions used to exclude patients with a history of comorbid conditions, competing diagnoses, or antibiotic medications.",
  "topic" : [
    {
      "text" : "FHIR"
    },
    {
      "text" : "CQL"
    }
  ],
  "content" : [
    {
      "contentType" : "text/cql",
      "data" : "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",
      "url" : "https://madie.cms.gov/Library-Antibiotic.cql"
    }
  ]
}