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 |
<Library xmlns="http://hl7.org/fhir">
<id value="CMS1056FHIRCTClinical"/>
<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 CMS1056FHIRCTClinical 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 AlaraCommonFunctions version '2.1.000' called AlaraCommon
codesystem "LOINC": 'http://loinc.org'
code "CT dose and image quality category": '96914-7' from "LOINC" display 'CT dose and image quality category'
code "Full Body": 'LA31771-1' from "LOINC" display 'Full Body'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)
context Patient
define "SDE Ethnicity":
SDE."SDE Ethnicity"
define "SDE Payer":
SDE."SDE Payer"
define "SDE Race":
SDE."SDE Race"
define "SDE Sex":
SDE."SDE Sex"
define "Patients with Qualifying CTScan":
[ObservationClinicalResult: "CT dose and image quality category"] CTScanResult
where CTScanResult.status in { 'final', 'amended', 'corrected' }
and CTScanResult.effective.toInterval ( ) ends during day of "Measurement Period"
and ( AgeInYearsAt(date from start of "Measurement Period") >= 18 )
define "Patients with Qualifying CTScan with Values":
"Patients with Qualifying CTScan" CTScan
where CTScan.globalNoiseValue ( ) is not null
and CTScan.sizeAdjustedValue ( ) is not null
and CTScan.value is not null
define "Initial Population":
exists ( "Patients with Qualifying CTScan" )
define "Denominator":
exists ( "Patients with Qualifying CTScan with Values" )
define "Denominator Exclusion":
exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues
where ( CTScanWithValues.value as FHIR.CodeableConcept ) ~ "Full Body"
)
define "Numerator":
exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues
where CTScanWithValues.ctScanQualifies ( )
)</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/CMS1056FHIRCTClinical"/>
<version value="1.1.000"/>
<name value="CMS1056FHIRCTClinical"/>
<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-CMS1056FHIRCTClinical.cql"/>
</content>
</Library>