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

Library: CMS130FHIRColorectalCancerScrn

Official URL: https://madie.cms.gov/Library/CMS130FHIRColorectalCancerScrn Version: 1.1.000
Active as of 2025-07-25 Responsible: National Committee for Quality Assurance Computable Name: CMS130FHIRColorectalCancerScrn

CMS130FHIRColorectalCancerScrn

Metadata
Title CMS130FHIRColorectalCancerScrn
Version 1.1.000
Topic FHIR
Topic CQL
Steward (Publisher) National Committee for Quality Assurance
Description

CMS130FHIRColorectalCancerScrn
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Dependency Description: Model USQualityCore
Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Dependency Description: Library USCoreCommon
Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
Dependency Description: Library USCoreElements
Resource: http://hl7.org/fhir/us/cql/Library/USCoreElements|2.0.0-ballot
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreElements|2.0.0-ballot
Dependency Description: Library USQualityCoreCommon
Resource: US Quality Core Commonversion: null0.1.0-cibuild)
Canonical URL: https://madie.cms.gov/Library/USQualityCoreCommon|0.1.0-cibuild
Dependency Description: Library SDE
Resource: SupplementalDataElementsversion: null6.1.000)
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000
Dependency Description: Library Status
Resource: Statusversion: null2.1.000)
Canonical URL: https://madie.cms.gov/Library/Status|2.1.000
Dependency Description: Library AdultOutpatientEncounters
Resource: AdultOutpatientEncountersversion: null5.1.000)
Canonical URL: https://madie.cms.gov/Library/AdultOutpatientEncounters|5.1.000
Dependency Description: Library AIFrailLTCF
Resource: AdvancedIllnessandFrailtyversion: null2.1.000)
Canonical URL: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|2.1.000
Dependency Description: Library Hospice
Resource: Hospiceversion: null7.1.000)
Canonical URL: https://madie.cms.gov/Library/Hospice|7.1.000
Dependency Description: Library PalliativeCare
Resource: PalliativeCareversion: null2.1.000)
Canonical URL: https://madie.cms.gov/Library/PalliativeCare|2.1.000
Dependency Description: Value Set Colonoscopy
Resource: Colonoscopy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020
Dependency Description: Value Set CT Colonography
Resource: CT Colonography
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038
Dependency Description: Value Set Fecal Occult Blood Test (FOBT)
Resource: Fecal Occult Blood Test (FOBT)
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011
Dependency Description: Value Set sDNA FIT Test
Resource: sDNA FIT Test
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039
Dependency Description: Value Set Flexible Sigmoidoscopy
Resource: Flexible Sigmoidoscopy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010
Dependency Description: Value Set Malignant Neoplasm of Colon
Resource: Malignant Neoplasm of Colon
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
Dependency Description: Value Set Total Colectomy
Resource: Total Colectomy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019
Data Requirement Type: Condition
Profile(s): Condition
Code Filter(s):
Path: code
ValueSet: Malignant Neoplasm of Colon
Data Requirement Type: Procedure
Profile(s): Procedure
Code Filter(s):
Path: code
ValueSet: Total Colectomy
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Code Filter(s):
Path: code
ValueSet: Fecal Occult Blood Test (FOBT)
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab
Code Filter(s):
Path: code
ValueSet: sDNA FIT Test
Data Requirement Type: Procedure
Profile(s): Procedure
Code Filter(s):
Path: code
ValueSet: Flexible Sigmoidoscopy
Data Requirement Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result
Code Filter(s):
Path: code
ValueSet: CT Colonography
Data Requirement Type: Procedure
Profile(s): Procedure
Code Filter(s):
Path: code
ValueSet: Colonoscopy
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
SDE Ethnicity Out 0..1 Resource
SDE Payer Out 0..* Resource
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Initial Population Out 0..1 boolean
Denominator Out 0..1 boolean
Malignant Neoplasm Out 0..* Condition
Total Colectomy Performed Out 0..* Procedure
Denominator Exclusions Out 0..1 boolean
Fecal Occult Blood Test Performed Out 0..* Resource
Stool DNA with FIT Test Performed Out 0..* Resource
Flexible Sigmoidoscopy Performed Out 0..* Procedure
CT Colonography Performed Out 0..* Resource
Colonoscopy Performed Out 0..* Procedure
Numerator Out 0..1 boolean
Stratification 1 Out 0..1 boolean
Stratification 2 Out 0..1 boolean
Library Content
CQL Content 
/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library CMS130FHIRColorectalCancerScrn 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 Status version '2.1.000' called Status
include AdultOutpatientEncounters version '5.1.000' called AdultOutpatientEncounters
include AdvancedIllnessandFrailty version '2.1.000' called AIFrailLTCF
include Hospice version '7.1.000' called Hospice
include PalliativeCare version '2.1.000' called PalliativeCare

valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'
valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'
valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'
valueset "sDNA FIT Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'
valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'
valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'
valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'

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

context Patient

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

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

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

define "SDE Sex":
  SDE."SDE Sex"

define "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[46, 75]
    and exists AdultOutpatientEncounters."Qualifying Encounters"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  Hospice."Has Hospice Services"
    or exists "Malignant Neoplasm"
    or exists "Total Colectomy Performed"
    or AIFrailLTCF."Is Age 66 or Older with Advanced Illness and Frailty"
    or AIFrailLTCF."Is Age 66 or Older Living Long Term in a Nursing Home"
    or PalliativeCare."Has Palliative Care in the Measurement Period"

define "Numerator":
  exists "Fecal Occult Blood Test Performed"
    or exists "Stool DNA with FIT Test Performed"
    or exists "Flexible Sigmoidoscopy Performed"
    or exists "CT Colonography Performed"
    or exists "Colonoscopy Performed"

define "Fecal Occult Blood Test Performed":
  ( ( [LaboratoryResultObservation: "Fecal Occult Blood Test (FOBT)"] ).isLaboratoryTestPerformed ( ) ) FecalOccultResult
    where FecalOccultResult.value is not null
      and FecalOccultResult.effective.latest ( ) during day of "Measurement Period"

define "Malignant Neoplasm":
  ( ( [Condition: "Malignant Neoplasm of Colon"] ).verified ( ) ) ColorectalCancer
    where ColorectalCancer.prevalenceInterval ( ) starts on or before day of end of "Measurement Period"

define "Total Colectomy Performed":
  ( ( [Procedure: "Total Colectomy"] ).isProcedurePerformed ( ) ) Colectomy
    where Colectomy.performed.toInterval ( ) ends on or before day of end of "Measurement Period"

define "Stratification 1":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[46, 49]

define "Stratification 2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[50, 75]

define "Colonoscopy Performed":
  ( ( [Procedure: "Colonoscopy"] ).isProcedurePerformed ( ) ) ColonoscopyProcedure
    where ColonoscopyProcedure.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 9 years, end of "Measurement Period"]

define "Flexible Sigmoidoscopy Performed":
  ( ( [Procedure: "Flexible Sigmoidoscopy"] ).isProcedurePerformed ( ) ) FlexibleSigmoidoscopy
    where FlexibleSigmoidoscopy.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]

define "CT Colonography Performed":
  ( ( [ObservationClinicalResult: "CT Colonography"] ).isDiagnosticStudyPerformed ( ) ) Colonography
    where Colonography.effective.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]

define "Stool DNA with FIT Test Performed":
  ( ( [LaboratoryResultObservation: "sDNA FIT Test"] ).isLaboratoryTestPerformed ( ) ) sDNATest
    where sDNATest.value is not null
      and sDNATest.effective.latest ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]
ELM XML Content 
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ELM JSON Content 
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Generated using version 0.5.4 of the sample-content-ig Liquid templates