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 |
<Library xmlns="http://hl7.org/fhir">
<id value="CMS139FHIRFallRiskScreening"/>
<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 CMS139FHIRFallRiskScreening 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 Hospice version '7.1.000' called Hospice
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 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 "Audiology Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1066'
valueset "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'
valueset "Discharge Services Nursing Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1013'
valueset "Falls Screening": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1028'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset "Occupational Therapy Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Ophthalmological Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'
valueset "Physical Therapy Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022'
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 Individual Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'
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 "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 "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 start of "Measurement Period") >= 65
and exists "Qualifying Encounter"
define "Qualifying Encounter":
( ( [Encounter: "Office Visit"]
union [Encounter: "Annual Wellness 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: "Ophthalmological Services"]
union [Encounter: "Preventive Care Services Individual Counseling"]
union [Encounter: "Discharge Services Nursing Facility"]
union [Encounter: "Nursing Facility Visit"]
union [Encounter: "Care Services in Long Term Residential Facility"]
union [Encounter: "Audiology Visit"]
union [Encounter: "Telephone Visits"]
union [Encounter: "Virtual Encounter"]
union [Encounter: "Physical Therapy Evaluation"]
union [Encounter: "Occupational Therapy Evaluation"]
).isEncounterPerformed ( ) ) ValidEncounter
where ValidEncounter.period during day of "Measurement Period"
define "Denominator":
"Initial Population"
define "Denominator Exclusions":
Hospice."Has Hospice Services"
define "Numerator":
exists ( ( [ObservationScreeningAssessment: "Falls Screening"] ).isAssessmentPerformed ( ) ) FallsScreening
where FallsScreening.effective.toInterval ( ) during day of "Measurement Period"</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/CMS139FHIRFallRiskScreening"/>
<version value="1.1.000"/>
<name value="CMS139FHIRFallRiskScreening"/>
<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="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"/>
<url
value="https://madie.cms.gov/Library-CMS139FHIRFallRiskScreening.cql"/>
</content>
</Library>