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

: CMS104FHIRSTKDCAntithrombotic - XML Representation

Draft as of 2026-09-19

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="CMS104FHIRSTKDCAntithrombotic"/>
  <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">Version</th>



<td class="content-container">1.1.000</td>


</tr>
















<tr>


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



<td class="content-container">Draft</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 CMS104FHIRSTKDCAntithrombotic version '1.1.000'

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.USCoreCommon version '2.0.0-ballot' called USCoreCommon
include hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements

include CQMCommon version '5.1.000' called CQMCommon
include USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon
include SupplementalDataElements version '6.1.000' called SDE
include Status version '2.1.000' called Status

include TJCOverall version '9.1.000' called TJC

valueset &quot;Antithrombotic Therapy for Ischemic Stroke&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62'
valueset &quot;Medical Reason For Not Providing Treatment&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'
valueset &quot;Patient Refusal&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'
valueset &quot;Pharmacological Contraindications For Antithrombotic Therapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52'

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define &quot;Initial Population&quot;:
  TJC.&quot;Ischemic Stroke Encounter&quot;

define &quot;Denominator&quot;:
  &quot;Initial Population&quot;

define &quot;Denominator Exclusions&quot;:
  TJC.&quot;Ischemic Stroke Encounters With Discharge Disposition&quot;
    union TJC.&quot;Encounter With Comfort Measures During Hospitalization&quot;

define &quot;Numerator&quot;:
  TJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter
    with [&quot;MedicationRequest&quot;: &quot;Antithrombotic Therapy for Ischemic Stroke&quot;] DischargeAntithrombotic
      such that DischargeAntithrombotic.status in { 'active', 'completed' }
        and DischargeAntithrombotic.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
        and ( DischargeAntithrombotic.isCommunity ( )
            or DischargeAntithrombotic.isDischarge ( )
        )
        and DischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period
        and not exists ( [&quot;TaskRejected&quot;] TaskReject
            where TaskReject.focus.references ( DischargeAntithrombotic )
              and TaskReject.code ~ USQualityCoreCommon.&quot;Fulfill&quot;
        )

define &quot;Denominator Exceptions&quot;:
  &quot;Encounter With Documented Reason For No Antithrombotic At Discharge&quot;
    union &quot;Encounter With Pharmacological Contraindications For Antithrombotic Therapy At Discharge&quot;

define &quot;Encounter With Documented Reason For No Antithrombotic At Discharge&quot;:
  TJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter
    with &quot;Reason For Not Giving Antithrombotic At Discharge&quot; NoDischargeAntithrombotic
      such that NoDischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period

define &quot;Reason For Not Giving Antithrombotic At Discharge&quot;:
  ( [&quot;MedicationNotRequested&quot;: &quot;Antithrombotic Therapy for Ischemic Stroke&quot;] NoAntithromboticDischarge
      where ( NoAntithromboticDischarge.reasonCode in &quot;Medical Reason For Not Providing Treatment&quot;
          or NoAntithromboticDischarge.reasonCode in &quot;Patient Refusal&quot;
      )
        and ( NoAntithromboticDischarge.isCommunity ( )
            or NoAntithromboticDischarge.isDischarge ( )
        )
        and NoAntithromboticDischarge.status in { 'active', 'completed' }
        and NoAntithromboticDischarge.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
  )
    union ( [&quot;MedicationRequest&quot;: &quot;Antithrombotic Therapy for Ischemic Stroke&quot;] MedReqAntithrombotic
        with [&quot;TaskRejected&quot;] TaskReject
          such that TaskReject.focus.references ( MedReqAntithrombotic )
            and ( TaskReject.statusReason in &quot;Medical Reason For Not Providing Treatment&quot;
                or TaskReject.statusReason in &quot;Patient Refusal&quot;
            )
            and MedReqAntithrombotic.status in { 'active', 'completed' }
            and TaskReject.code ~ USQualityCoreCommon.&quot;Fulfill&quot;
    )

define &quot;Encounter With Pharmacological Contraindications For Antithrombotic Therapy At Discharge&quot;:
  TJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter
    with &quot;Pharmacological Contraindications For Antithrombotic Therapy At Discharge&quot; DischargePharmacological
      such that DischargePharmacological.authoredOn during IschemicStrokeEncounter.period

define &quot;Pharmacological Contraindications For Antithrombotic Therapy At Discharge&quot;:
  [&quot;MedicationRequest&quot;: &quot;Pharmacological Contraindications For Antithrombotic Therapy&quot;] PharmacologicalContraindications
    where ( PharmacologicalContraindications.isCommunity ( )
        or PharmacologicalContraindications.isDischarge ( )
    )
      and PharmacologicalContraindications.status in { 'active', 'completed' }
      and PharmacologicalContraindications.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }

define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;

define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;

define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;

define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&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/CMS104FHIRSTKDCAntithrombotic"/>
  <version value="1.1.000"/>
  <name value="CMS104FHIRSTKDCAntithrombotic"/>
  <status value="draft"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2026-09-19T16:31:14+00:00"/>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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"/>
    <url
         value="https://madie.cms.gov/Library-CMS104FHIRSTKDCAntithrombotic.cql"/>
  </content>
</Library>