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
| Active as of 2025-08-25 |
{
"resourceType" : "Library",
"id" : "CMS1206FHIRCTOQR",
"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\">CMS1206FHIRCTOQR</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\">1.1.000</td>\n\n\n</tr>\n\n\n\n\n\n\n\n \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">CMS1206FHIRCTOQR</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<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\">Alara Imaging, Inc.</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>CMS1206FHIRCTOQR</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 CMS1206FHIRCTOQR 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 USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\ninclude SupplementalDataElements version '6.1.000' called SDE\ninclude CQMCommon version '5.1.000' called CQMCommon\ninclude AlaraCommonFunctions version '2.1.000' called AlaraCommonFunctions\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 "Denominator":\n "Qualified Scan With Values"\n\n// TODO: Note that this used to use a .coding contains "Full Body", presumably to allow for other codings, so long as at least Full Body is present\n// But that is the definition of concept equivalent within CQL, so it should be the same to just use the ~ operator. Please confirm.\ndefine "Denominator Exclusion":\n "Qualified Scan With Values" CTScanWithValues\n where ( CTScanWithValues.value as FHIR.CodeableConcept ) ~ "Full Body"\n\ndefine "Initial Population":\n "Qualified Scan Without Inpatient Encounter"\n\ndefine "Numerator":\n "Qualified Scan With Values" CTScanWithValues\n where CTScanWithValues.ctScanQualifies ( )\n\ndefine "Qualified Scan With Values":\n "Qualified Scan Without 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 "Qualified Scan Without Inpatient Encounter":\n "Qualified Scan" QualifiedCTScan\n without [Encounter: "Encounter Inpatient"] InpatientEncounter\n such that InpatientEncounter.status ~ 'finished'\n and InpatientEncounter.period ends during day of "Measurement Period"\n and QualifiedCTScan.effective.toInterval ( ) starts during InpatientEncounter.period\n\ndefine "Qualified Scan":\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 "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"</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/CMS1206FHIRCTOQR",
"identifier" : [
{
"use" : "official",
"system" : "https://madie.cms.gov/login",
"value" : "CMS1206FHIRCTOQR"
}
],
"version" : "1.1.000",
"name" : "CMS1206FHIRCTOQR",
"title" : "CMS1206FHIRCTOQR",
"status" : "active",
"experimental" : false,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2025-08-25T17:12:12+00:00",
"publisher" : "Alara Imaging, Inc.",
"description" : "CMS1206FHIRCTOQR",
"topic" : [
{
"text" : "FHIR"
},
{
"text" : "CQL"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : "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",
"url" : "https://madie.cms.gov/Library-CMS1206FHIRCTOQR.cql"
}
]
}