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

: CMS128FHIRAntidepressantMgmt - XML Representation

Draft as of 2026-09-19

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<Library xmlns="http://hl7.org/fhir">
  <id value="CMS128FHIRAntidepressantMgmt"/>
  <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 CMS128FHIRAntidepressantMgmt 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.CumulativeMedicationDuration version '2.0.0-ballot' called CMD
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 Hospice version '7.1.000' called Hospice
include Status version '2.1.000' called Status

valueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset &quot;Antidepressant Medication&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1213'
valueset &quot;Home Healthcare Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset &quot;Major Depression&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1007'
valueset &quot;Nursing Facility Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'
valueset &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
valueset &quot;Psych Visit Diagnostic Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset &quot;Psych Visit Psychotherapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset &quot;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset &quot;Virtual Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define &quot;Initial Population&quot;:
  AgeInYearsAt(date from &quot;IPSD&quot;) &gt;= 18
    and &quot;Has IPSD and Major Depression Diagnosis&quot;
    and exists &quot;Qualifying Encounters&quot;

define &quot;April 30 of the Measurement Period&quot;:
  DateTime((year from start of &quot;Measurement Period&quot;), 4, 30, 23, 59, 59, 0, 0)

define &quot;Has IPSD and Major Depression Diagnosis&quot;:
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( ( ( [ConditionProblemsHealthConcerns: &quot;Major Depression&quot;]
  //         union [ConditionEncounterDiagnosis: &quot;Major Depression&quot;]
  //     ).verified ( ) ) MajorDepression
  //       where &quot;IPSD&quot; is not null
  //         and date from start of MajorDepression.prevalenceInterval ( ) within 60 days of &quot;IPSD&quot;
  //   )
  exists ( ( [FHIR.Condition: &quot;Major Depression&quot;] ).verified ( ) ) MajorDepression
    where &quot;IPSD&quot; is not null
      and date from start of MajorDepression.prevalenceInterval ( ) within 60 days of &quot;IPSD&quot;

define &quot;IPSD&quot;:
  First((([MedicationDispense: &quot;Antidepressant Medication&quot;]).isMedicationDispensed()) Antidepressant
      where start of Antidepressant.medicationDispensePeriod() in day of &quot;Intake Period&quot;
      return {
        AntidepressantDate: date from start of Antidepressant.medicationDispensePeriod()
      }
      sort by AntidepressantDate
  ).AntidepressantDate

define &quot;Intake Period&quot;:
  Interval[&quot;May 1 of the Year Prior to the Measurement Period&quot;, &quot;April 30 of the Measurement Period&quot;]

define &quot;May 1 of the Year Prior to the Measurement Period&quot;:
  DateTime((year from start of &quot;Measurement Period&quot; - 1), 5, 1, 0, 0, 0, 0, 0)

define &quot;Qualifying Encounters&quot;:
  ( ( [Encounter: &quot;Office Visit&quot;]
      union [Encounter: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
      union [Encounter: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
      union [Encounter: &quot;Home Healthcare Services&quot;]
      union [Encounter: &quot;Annual Wellness Visit&quot;]
      union [Encounter: &quot;Nursing Facility Visit&quot;]
      union [Encounter: &quot;Psych Visit Diagnostic Evaluation&quot;]
      union [Encounter: &quot;Psych Visit Psychotherapy&quot;]
      union [Encounter: &quot;Telephone Visits&quot;]
      union [Encounter: &quot;Virtual Encounter&quot;]
  ).isEncounterPerformed ( ) ) ValidEncounter
    where date from start of ValidEncounter.period within 60 days of &quot;IPSD&quot;

define &quot;Denominator&quot;:
  &quot;Initial Population&quot;

define &quot;Denominator Exclusions&quot;:
  Hospice.&quot;Has Hospice Services&quot;
    or exists ( ( ( [MedicationRequest: &quot;Antidepressant Medication&quot;] ).isMedicationActive ( ) ) ActiveAntidepressant
        where &quot;IPSD&quot; is not null
          and CQMCommon.ToDateInterval ( ActiveAntidepressant.medicationRequestPeriod ( ) ) overlaps Interval[&quot;IPSD&quot; - 105 days, &quot;IPSD&quot; )
    )

define &quot;Numerator 1&quot;:
  &quot;Cumulative Medication Duration Greater Than or Equal to 84 Days&quot;

define &quot;Cumulative Medication Duration Greater Than or Equal to 84 Days&quot;:
  ( &quot;Antidepressant Medication Period Between IPSD and 114 Days After IPSD&quot;.cumulativeDuration ( ) ) &gt;= 84

define &quot;Antidepressant Medication Period Between IPSD and 114 Days After IPSD&quot;:
  ( ( [MedicationDispense: &quot;Antidepressant Medication&quot;] ).isMedicationDispensed ( ) ) Antidepressant
    let MedicationPeriod: Antidepressant.medicationDispensePeriod ( )
    return MedicationPeriod
      intersect Interval[&quot;IPSD&quot;, &quot;IPSD&quot; + 114 days]

define &quot;Numerator 2&quot;:
  &quot;Cumulative Medication Duration Greater Than or Equal to 180 Days&quot;

define &quot;Cumulative Medication Duration Greater Than or Equal to 180 Days&quot;:
  ( &quot;Antidepressant Medication Period Between IPSD and 231 Days After IPSD&quot;.cumulativeDuration ( ) ) &gt;= 180

define &quot;Antidepressant Medication Period Between IPSD and 231 Days After IPSD&quot;:
  ( ( [MedicationDispense: &quot;Antidepressant Medication&quot;] ).isMedicationDispensed ( ) ) Antidepressant
    let MedicationPeriod: Antidepressant.medicationDispensePeriod ( )
    return MedicationPeriod
      intersect Interval[&quot;IPSD&quot;, &quot;IPSD&quot; + 231 days]

define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;

define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;

define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;

define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&quot;</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/CMS128FHIRAntidepressantMgmt"/>
  <version value="1.1.000"/>
  <name value="CMS128FHIRAntidepressantMgmt"/>
  <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="/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library CMS128FHIRAntidepressantMgmt 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.CumulativeMedicationDuration version '2.0.0-ballot' called CMD
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 Hospice version '7.1.000' called Hospice
include Status version '2.1.000' called Status

valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset "Antidepressant Medication": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1213'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Major Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1007'
valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "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'
valueset "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'
valueset "Psych Visit Diagnostic Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset "Psych Visit Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define "Initial Population":
  AgeInYearsAt(date from "IPSD") >= 18
    and "Has IPSD and Major Depression Diagnosis"
    and exists "Qualifying Encounters"

define "April 30 of the Measurement Period":
  DateTime((year from start of "Measurement Period"), 4, 30, 23, 59, 59, 0, 0)

define "Has IPSD and Major Depression Diagnosis":
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( ( ( [ConditionProblemsHealthConcerns: "Major Depression"]
  //         union [ConditionEncounterDiagnosis: "Major Depression"]
  //     ).verified ( ) ) MajorDepression
  //       where "IPSD" is not null
  //         and date from start of MajorDepression.prevalenceInterval ( ) within 60 days of "IPSD"
  //   )
  exists ( ( [FHIR.Condition: "Major Depression"] ).verified ( ) ) MajorDepression
    where "IPSD" is not null
      and date from start of MajorDepression.prevalenceInterval ( ) within 60 days of "IPSD"

define "IPSD":
  First((([MedicationDispense: "Antidepressant Medication"]).isMedicationDispensed()) Antidepressant
      where start of Antidepressant.medicationDispensePeriod() in day of "Intake Period"
      return {
        AntidepressantDate: date from start of Antidepressant.medicationDispensePeriod()
      }
      sort by AntidepressantDate
  ).AntidepressantDate

define "Intake Period":
  Interval["May 1 of the Year Prior to the Measurement Period", "April 30 of the Measurement Period"]

define "May 1 of the Year Prior to the Measurement Period":
  DateTime((year from start of "Measurement Period" - 1), 5, 1, 0, 0, 0, 0, 0)

define "Qualifying Encounters":
  ( ( [Encounter: "Office Visit"]
      union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]
      union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]
      union [Encounter: "Home Healthcare Services"]
      union [Encounter: "Annual Wellness Visit"]
      union [Encounter: "Nursing Facility Visit"]
      union [Encounter: "Psych Visit Diagnostic Evaluation"]
      union [Encounter: "Psych Visit Psychotherapy"]
      union [Encounter: "Telephone Visits"]
      union [Encounter: "Virtual Encounter"]
  ).isEncounterPerformed ( ) ) ValidEncounter
    where date from start of ValidEncounter.period within 60 days of "IPSD"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  Hospice."Has Hospice Services"
    or exists ( ( ( [MedicationRequest: "Antidepressant Medication"] ).isMedicationActive ( ) ) ActiveAntidepressant
        where "IPSD" is not null
          and CQMCommon.ToDateInterval ( ActiveAntidepressant.medicationRequestPeriod ( ) ) overlaps Interval["IPSD" - 105 days, "IPSD" )
    )

define "Numerator 1":
  "Cumulative Medication Duration Greater Than or Equal to 84 Days"

define "Cumulative Medication Duration Greater Than or Equal to 84 Days":
  ( "Antidepressant Medication Period Between IPSD and 114 Days After IPSD".cumulativeDuration ( ) ) >= 84

define "Antidepressant Medication Period Between IPSD and 114 Days After IPSD":
  ( ( [MedicationDispense: "Antidepressant Medication"] ).isMedicationDispensed ( ) ) Antidepressant
    let MedicationPeriod: Antidepressant.medicationDispensePeriod ( )
    return MedicationPeriod
      intersect Interval["IPSD", "IPSD" + 114 days]

define "Numerator 2":
  "Cumulative Medication Duration Greater Than or Equal to 180 Days"

define "Cumulative Medication Duration Greater Than or Equal to 180 Days":
  ( "Antidepressant Medication Period Between IPSD and 231 Days After IPSD".cumulativeDuration ( ) ) >= 180

define "Antidepressant Medication Period Between IPSD and 231 Days After IPSD":
  ( ( [MedicationDispense: "Antidepressant Medication"] ).isMedicationDispensed ( ) ) Antidepressant
    let MedicationPeriod: Antidepressant.medicationDispensePeriod ( )
    return MedicationPeriod
      intersect Interval["IPSD", "IPSD" + 231 days]

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex""/>
    <url
         value="https://madie.cms.gov/Library-CMS128FHIRAntidepressantMgmt.cql"/>
  </content>
</Library>