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" : "CMS139FHIRFallRiskScreening",
"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 CMS139FHIRFallRiskScreening 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 Hospice version '7.1.000' called Hospice\ninclude CQMCommon version '5.1.000' called CQMCommon\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\n\nvalueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'\nvalueset "Audiology Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1066'\nvalueset "Care Services in Long Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'\nvalueset "Discharge Services Nursing Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1013'\nvalueset "Falls Screening": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1028'\nvalueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\nvalueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'\nvalueset "Occupational Therapy Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Ophthalmological Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'\nvalueset "Physical Therapy Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022'\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 Individual Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'\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'\nvalueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'\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 "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"\n\ndefine "Initial Population":\n AgeInYearsAt(date from start of "Measurement Period") >= 65\n and exists "Qualifying Encounter"\n\ndefine "Qualifying Encounter":\n ( ( [Encounter: "Office Visit"]\n union [Encounter: "Annual Wellness 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: "Ophthalmological Services"]\n union [Encounter: "Preventive Care Services Individual Counseling"]\n union [Encounter: "Discharge Services Nursing Facility"]\n union [Encounter: "Nursing Facility Visit"]\n union [Encounter: "Care Services in Long Term Residential Facility"]\n union [Encounter: "Audiology Visit"]\n union [Encounter: "Telephone Visits"]\n union [Encounter: "Virtual Encounter"]\n union [Encounter: "Physical Therapy Evaluation"]\n union [Encounter: "Occupational Therapy Evaluation"]\n ).isEncounterPerformed ( ) ) ValidEncounter\n where ValidEncounter.period during day of "Measurement Period"\n\ndefine "Denominator":\n "Initial Population"\n\ndefine "Denominator Exclusions":\n Hospice."Has Hospice Services"\n\ndefine "Numerator":\n exists ( ( [ObservationScreeningAssessment: "Falls Screening"] ).isAssessmentPerformed ( ) ) FallsScreening\n where FallsScreening.effective.toInterval ( ) during day of "Measurement Period"</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/CMS139FHIRFallRiskScreening",
"version" : "1.1.000",
"name" : "CMS139FHIRFallRiskScreening",
"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-CMS139FHIRFallRiskScreening.cql"
}
]
}