Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build
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
| Draft as of 2026-09-19 |
{
"resourceType" : "Library",
"id" : "CMS1056FHIRCTClinical",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\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\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\">1.1.000</td>\n\n\n</tr>\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\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</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\n\n\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 CMS1056FHIRCTClinical version '1.1.000'\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.USCoreCommon version '2.0.0-ballot' called USCoreCommon\ninclude hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements\n\ninclude CQMCommon version '5.1.000' called CQMCommon\ninclude USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\ninclude SupplementalDataElements version '6.1.000' called SDE\ninclude Status version '2.1.000' called Status\ninclude AlaraCommonFunctions version '2.1.000' called AlaraCommon\n\ncodesystem "LOINC": 'http://loinc.org'\n\ncode "CT dose and image quality category": '96914-7' from "LOINC" display 'CT dose and image quality category'\ncode "Full Body": 'LA31771-1' from "LOINC" display 'Full Body'\n\nparameter "Measurement Period" Interval<DateTime>\n default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine "SDE Ethnicity":\n SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n SDE."SDE Payer"\n\ndefine "SDE Race":\n SDE."SDE Race"\n\ndefine "SDE Sex":\n SDE."SDE Sex"\n\ndefine "Patients with Qualifying CTScan":\n [ObservationClinicalResult: "CT dose and image quality category"] CTScanResult\n where CTScanResult.status in { 'final', 'amended', 'corrected' }\n and CTScanResult.effective.toInterval ( ) ends during day of "Measurement Period"\n and ( AgeInYearsAt(date from start of "Measurement Period") >= 18 )\n\ndefine "Patients with Qualifying CTScan with Values":\n "Patients with Qualifying CTScan" CTScan\n where CTScan.globalNoiseValue ( ) is not null\n and CTScan.sizeAdjustedValue ( ) is not null\n and CTScan.value is not null\n\ndefine "Initial Population":\n exists ( "Patients with Qualifying CTScan" )\n\ndefine "Denominator":\n exists ( "Patients with Qualifying CTScan with Values" )\n\ndefine "Denominator Exclusion":\n exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues\n where ( CTScanWithValues.value as FHIR.CodeableConcept ) ~ "Full Body"\n )\n\ndefine "Numerator":\n exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues\n where CTScanWithValues.ctScanQualifies ( )\n )</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/CMS1056FHIRCTClinical",
"version" : "1.1.000",
"name" : "CMS1056FHIRCTClinical",
"status" : "draft",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2026-09-19T16:31:14+00:00",
"content" : [
{
"contentType" : "text/cql",
"data" : "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",
"url" : "https://madie.cms.gov/Library-CMS1056FHIRCTClinical.cql"
}
]
}