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 |
<Library xmlns="http://hl7.org/fhir">
<id value="CMS1206FHIRCTOQR"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<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">Title</th>
<td class="content-container">CMS1206FHIRCTOQR</td>
</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">Identifier</th>
<td class="content-container">CMS1206FHIRCTOQR</td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container">FHIR
</td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container">CQL
</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">Alara Imaging, Inc.</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>CMS1206FHIRCTOQR</p>
</div></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 CMS1206FHIRCTOQR 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 USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon
include SupplementalDataElements version '6.1.000' called SDE
include CQMCommon version '5.1.000' called CQMCommon
include AlaraCommonFunctions version '2.1.000' called AlaraCommonFunctions
codesystem "LOINC": 'http://loinc.org'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
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 "Denominator":
"Qualified Scan With Values"
// 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
// But that is the definition of concept equivalent within CQL, so it should be the same to just use the ~ operator. Please confirm.
define "Denominator Exclusion":
"Qualified Scan With Values" CTScanWithValues
where ( CTScanWithValues.value as FHIR.CodeableConcept ) ~ "Full Body"
define "Initial Population":
"Qualified Scan Without Inpatient Encounter"
define "Numerator":
"Qualified Scan With Values" CTScanWithValues
where CTScanWithValues.ctScanQualifies ( )
define "Qualified Scan With Values":
"Qualified Scan Without Inpatient Encounter" CTScan
where CTScan.globalNoiseValue ( ) is not null
and CTScan.sizeAdjustedValue ( ) is not null
and CTScan.value is not null
define "Qualified Scan Without Inpatient Encounter":
"Qualified Scan" QualifiedCTScan
without [Encounter: "Encounter Inpatient"] InpatientEncounter
such that InpatientEncounter.status ~ 'finished'
and InpatientEncounter.period ends during day of "Measurement Period"
and QualifiedCTScan.effective.toInterval ( ) starts during InpatientEncounter.period
define "Qualified Scan":
[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 "SDE Ethnicity":
SDE."SDE Ethnicity"
define "SDE Payer":
SDE."SDE Payer"
define "SDE Race":
SDE."SDE Race"
define "SDE Sex":
SDE."SDE Sex"</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/CMS1206FHIRCTOQR"/>
<identifier>
<use value="official"/>
<system value="https://madie.cms.gov/login"/>
<value value="CMS1206FHIRCTOQR"/>
</identifier>
<version value="1.1.000"/>
<name value="CMS1206FHIRCTOQR"/>
<title value="CMS1206FHIRCTOQR"/>
<status value="active"/>
<experimental value="false"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2025-08-25T17:12:12+00:00"/>
<publisher value="Alara Imaging, Inc."/>
<description value="CMS1206FHIRCTOQR"/>
<topic>
<text value="FHIR"/>
</topic>
<topic>
<text value="CQL"/>
</topic>
<content>
<contentType value="text/cql"/>
<data
value="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"/>
<url value="https://madie.cms.gov/Library-CMS1206FHIRCTOQR.cql"/>
</content>
</Library>