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" : "CMS124FHIRCervicalCancerScreen",
"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 CMS124FHIRCervicalCancerScreen 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 Status version '2.1.000' called Status\ninclude Hospice version '7.1.000' called Hospice\ninclude PalliativeCare version '2.1.000' called PalliativeCare\n\ncodesystem "SNOMEDCT": 'http://snomed.info/sct'\n\nvalueset "Congenital or Acquired Absence of Cervix": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1016'\nvalueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\nvalueset "HPV Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059'\nvalueset "Hysterectomy with No Residual Cervix": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'\nvalueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017'\nvalueset "Preventive Care Services Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\nvalueset "Preventive Care Services Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\nvalueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'\n\ncode "Female (finding)": '248152002' from "SNOMEDCT" display 'Female (finding)'\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 "Initial Population":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) in Interval[24, 64]\n and Patient.sex() = '248152002'\n and exists "Qualifying Encounters"\n\ndefine "Qualifying Encounters":\n ( ( [Encounter: "Office Visit"]\n union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]\n union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]\n union [Encounter: "Home Healthcare Services"]\n union [Encounter: "Telephone Visits"]\n union [Encounter: "Virtual Encounter"]\n ).isEncounterPerformed ( ) ) ValidEncounters\n where ValidEncounters.period during day of "Measurement Period"\n\ndefine "Denominator":\n "Initial Population"\n\ndefine "Denominator Exclusions":\n Hospice."Has Hospice Services"\n or exists "Absence of Cervix"\n or PalliativeCare."Has Palliative Care in the Measurement Period"\n\ndefine "Numerator":\n exists "Cervical Cytology Within 3 Years"\n or exists "HPV Test Within 5 Years for Women Age 30 and Older"\n\ndefine "Absence of Cervix":\n ( ( ( [Procedure: "Hysterectomy with No Residual Cervix"] ).isProcedurePerformed ( ) ) NoCervixProcedure\n where NoCervixProcedure.performed.toInterval ( ) ends on or before end of "Measurement Period"\n )\n union ( // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // ( ( [ConditionProblemsHealthConcerns: "Congenital or Acquired Absence of Cervix"]\n // union [ConditionEncounterDiagnosis: "Congenital or Acquired Absence of Cervix"]\n // ).verified ( ) )\n ( ( [FHIR.Condition: "Congenital or Acquired Absence of Cervix"] ).verified ( ) ) NoCervixDiagnosis\n where NoCervixDiagnosis.prevalenceInterval ( ) starts on or before end of "Measurement Period"\n )\n\ndefine "Cervical Cytology Within 3 Years":\n ( ( [LaboratoryResultObservation: "Pap Test"] ).isLaboratoryTestPerformed ( ) ) CervicalCytology\n where CervicalCytology.effective.latest ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]\n and CervicalCytology.value is not null\n\ndefine "HPV Test Within 5 Years for Women Age 30 and Older":\n ( ( [LaboratoryResultObservation: "HPV Test"] ).isLaboratoryTestPerformed ( ) ) HPVTest\n where AgeInYearsAt(date from HPVTest.effective.latest()) >= 30\n and HPVTest.effective.latest ( ) during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]\n and HPVTest.value is not null\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/CMS124FHIRCervicalCancerScreen",
"version" : "1.1.000",
"name" : "CMS124FHIRCervicalCancerScreen",
"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-CMS124FHIRCervicalCancerScreen.cql"
}
]
}