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" : "CMS1074FHIRCTIQR",
"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\">\n/*\nNOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.\n*/\nlibrary CMS1074FHIRCTIQR 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\nvalueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\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 "Qualifying Inpatient Encounters":\n ["Encounter": "Encounter Inpatient"] InpatientEncounter\n where InpatientEncounter.status ~ 'finished'\n and InpatientEncounter.period ends during day of "Measurement Period"\n and AgeInYearsAt(date from start of "Measurement Period") >= 18\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 "Numerator":\n "Qualifying Scan With Values" CTScanWithValues\n where CTScanWithValues.ctScanQualifies ( )\n\ndefine "Initial Population":\n "Qualifying Scan During Inpatient Encounter"\n\ndefine "Denominator":\n "Qualifying Scan With Values"\n\ndefine "Denominator Exclusion":\n "Qualifying Scan With Values" CTScanWithValues\n where ( CTScanWithValues.value as FHIR.CodeableConcept ) ~ "Full Body"\n\ndefine "Qualifying Scan With Values":\n "Qualifying Scan During Inpatient Encounter" CTScan\n where CTScan.globalNoiseValue ( ) is not null\n and CTScan.sizeAdjustedValue ( ) is not null\n and CTScan.value is not null\n\ndefine "Qualifying Scan During Inpatient Encounter":\n [ObservationClinicalResult: "CT dose and image quality category"] CTScan\n with "Qualifying Inpatient Encounters" InpatientEncounters\n such that CTScan.status in { 'final', 'amended', 'corrected' }\n and CTScan.effective.toInterval ( ) starts during InpatientEncounters.period\n and CTScan.effective.toInterval ( ) ends during day of "Measurement Period"</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/CMS1074FHIRCTIQR",
"version" : "1.1.000",
"name" : "CMS1074FHIRCTIQR",
"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-CMS1074FHIRCTIQR.cql"
}
]
}