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" : "CMS142FHIRCommWithDrManagingDiab",
"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 CMS142FHIRCommWithDrManagingDiab 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 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\ncodesystem "SNOMEDCT": 'http://snomed.info/sct'\ncodesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'\n\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 "Diabetic Retinopathy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327'\nvalueset "Level of Severity of Retinopathy Findings": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1283'\nvalueset "Macular Edema Findings Present": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1320'\nvalueset "Macular Exam": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1251'\nvalueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007'\nvalueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'\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 "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'\nvalueset "Patient Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008'\nvalueset "Macular Edema Findings Absent": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.2.1391'\n\ncode "virtual": 'VR' from "ActCode" display 'virtual'\n// code "Macular edema absent (situation)": '428341000124108' from "SNOMEDCT" display 'Macular edema absent (situation)'\n\ncode "AMB": 'AMB' from "ActCode" display 'Ambulatory'\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") >= 18\n and exists "Diabetic Retinopathy Encounter"\n\ndefine "Denominator":\n "Initial Population"\n and exists "Macular Exam Performed"\n\ndefine "Numerator":\n exists "Level of Severity of Retinopathy Findings Communicated"\n and ( exists "Macular Edema Absence Communicated"\n or exists "Macular Edema Presence Communicated"\n )\n\ndefine "Denominator Exceptions":\n exists "Medical or Patient Reason for Not Communicating Level of Severity of Retinopathy"\n or exists "Medical or Patient Reason for Not Communicating Absence of Macular Edema"\n or exists "Medical or Patient Reason for Not Communicating Presence of Macular Edema"\n\ndefine "Qualifying Encounter During Day of Measurement Period":\n ( ["Encounter": "Office Visit"]\n union ["Encounter": "Ophthalmological Services"]\n union ["Encounter": "Outpatient Consultation"]\n union ["Encounter": "Care Services in Long-Term Residential Facility"]\n union ["Encounter": "Nursing Facility Visit"] ) QualifyingEncounter\n where QualifyingEncounter.period during day of "Measurement Period"\n and QualifyingEncounter.status = 'finished'\n and QualifyingEncounter.class !~ "virtual"\n\ndefine "Diabetic Retinopathy Encounter":\n "Qualifying Encounter During Day of Measurement Period" ValidQualifyingEncounter\n with (\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // ( ["ConditionProblemsHealthConcerns": "Diabetic Retinopathy"]\n // union ["ConditionEncounterDiagnosis": "Diabetic Retinopathy"] )\n [FHIR.Condition: "Diabetic Retinopathy"] ) DiabeticRetinopathy\n such that DiabeticRetinopathy.prevalenceInterval ( ) overlaps day of ValidQualifyingEncounter.period\n and DiabeticRetinopathy.isVerified ( )\n\ndefine "Macular Exam Performed":\n ["ObservationClinicalResult": "Macular Exam"] MacularExam\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that MacularExam.effective.toInterval ( ) during EncounterDiabeticRetinopathy.period\n where MacularExam.value is not null\n and MacularExam.status in { 'final', 'amended', 'corrected' }\n\ndefine "Results of Dilated Macular or Fundus Exam Communicated":\n exists "Level of Severity of Retinopathy Findings Communicated"\n and ( exists "Macular Edema Absence Communicated"\n or exists "Macular Edema Presence Communicated"\n )\n\ndefine "Level of Severity of Retinopathy Findings Communicated":\n ["Communication": category in "Level of Severity of Retinopathy Findings"] LevelOfSeverityCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that LevelOfSeverityCommunicated.sent after start of EncounterDiabeticRetinopathy.period\n and LevelOfSeverityCommunicated.sent during day of "Measurement Period"\n where LevelOfSeverityCommunicated.status = 'completed'\n\ndefine "Macular Edema Absence Communicated":\n ["Communication": category in "Macular Edema Findings Absent"] MacularEdemaAbsentCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that MacularEdemaAbsentCommunicated.sent after start of EncounterDiabeticRetinopathy.period\n and MacularEdemaAbsentCommunicated.sent during day of "Measurement Period"\n where MacularEdemaAbsentCommunicated.status = 'completed'\n\ndefine "Macular Edema Presence Communicated":\n ["Communication": category in "Macular Edema Findings Present"] MacularEdemaPresentCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that MacularEdemaPresentCommunicated.sent after start of EncounterDiabeticRetinopathy.period\n and MacularEdemaPresentCommunicated.sent during "Measurement Period"\n where MacularEdemaPresentCommunicated.status = 'completed'\n\ndefine "Medical or Patient Reason for Not Communicating Level of Severity of Retinopathy":\n [CommunicationNotDone: category in "Level of Severity of Retinopathy Findings"] LevelOfSeverityNotCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that LevelOfSeverityNotCommunicated.recorded () during day of EncounterDiabeticRetinopathy.period\n where ( LevelOfSeverityNotCommunicated.statusReason in "Medical Reason"\n or LevelOfSeverityNotCommunicated.statusReason in "Patient Reason"\n )\n\ndefine "Medical or Patient Reason for Not Communicating Presence of Macular Edema":\n [CommunicationNotDone: category in "Macular Edema Findings Present"] MacularEdemaPresentNotCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that MacularEdemaPresentNotCommunicated.sent during day of EncounterDiabeticRetinopathy.period\n where ( MacularEdemaPresentNotCommunicated.statusReason in "Medical Reason"\n or MacularEdemaPresentNotCommunicated.statusReason in "Patient Reason"\n ) \n\n/* Note: \nbelow definition workaround for \nhttps://oncprojectracking.healthit.gov/support/browse/CQLIT-371. Using value set workaround has been applied for now\nbut when QI Core STU 5 gets in the tool, it may be reverted back to a DRC */\n\n\ndefine "Medical or Patient Reason for Not Communicating Absence of Macular Edema":\n [CommunicationNotDone: category in "Macular Edema Findings Absent"] MacularEdemaAbsentNotCommunicated\n with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy\n such that MacularEdemaAbsentNotCommunicated.sent during day of EncounterDiabeticRetinopathy.period\n where ( MacularEdemaAbsentNotCommunicated.statusReason in "Medical Reason"\n or MacularEdemaAbsentNotCommunicated.statusReason in "Patient Reason"\n )\n\ndefine fluent function isVerified(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):\n condition.verificationStatus is not null implies ( condition.verificationStatus ~ Status."confirmed"\n or condition.verificationStatus ~ Status."unconfirmed"\n or condition.verificationStatus ~ Status."provisional"\n or condition.verificationStatus ~ Status."differential"\n )</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/CMS142FHIRCommWithDrManagingDiab",
"version" : "1.1.000",
"name" : "CMS142FHIRCommWithDrManagingDiab",
"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" : "/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library CMS142FHIRCommWithDrManagingDiab 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 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

codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'

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 "Diabetic Retinopathy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327'
valueset "Level of Severity of Retinopathy Findings": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1283'
valueset "Macular Edema Findings Present": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1320'
valueset "Macular Exam": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1251'
valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007'
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 "Ophthalmological Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'
valueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset "Patient Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008'
valueset "Macular Edema Findings Absent": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.2.1391'

code "virtual": 'VR' from "ActCode" display 'virtual'
// code "Macular edema absent (situation)": '428341000124108' from "SNOMEDCT" display 'Macular edema absent (situation)'

code "AMB": 'AMB' from "ActCode" display 'Ambulatory'

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") >= 18
    and exists "Diabetic Retinopathy Encounter"

define "Denominator":
  "Initial Population"
    and exists "Macular Exam Performed"

define "Numerator":
  exists "Level of Severity of Retinopathy Findings Communicated"
    and ( exists "Macular Edema Absence Communicated"
        or exists "Macular Edema Presence Communicated"
    )

define "Denominator Exceptions":
  exists "Medical or Patient Reason for Not Communicating Level of Severity of Retinopathy"
    or exists "Medical or Patient Reason for Not Communicating Absence of Macular Edema"
    or exists "Medical or Patient Reason for Not Communicating Presence of Macular Edema"

define "Qualifying Encounter During Day of Measurement Period":
  ( ["Encounter": "Office Visit"]
    union ["Encounter": "Ophthalmological Services"]
    union ["Encounter": "Outpatient Consultation"]
    union ["Encounter": "Care Services in Long-Term Residential Facility"]
    union ["Encounter": "Nursing Facility Visit"] ) QualifyingEncounter
    where QualifyingEncounter.period during day of "Measurement Period"
      and QualifyingEncounter.status = 'finished'
      and QualifyingEncounter.class !~ "virtual"

define "Diabetic Retinopathy Encounter":
  "Qualifying Encounter During Day of Measurement Period" ValidQualifyingEncounter
    with (
      // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
      // Original:
      //   ( ["ConditionProblemsHealthConcerns": "Diabetic Retinopathy"]
      //     union ["ConditionEncounterDiagnosis": "Diabetic Retinopathy"] )
      [FHIR.Condition: "Diabetic Retinopathy"] ) DiabeticRetinopathy
      such that DiabeticRetinopathy.prevalenceInterval ( ) overlaps day of ValidQualifyingEncounter.period
        and DiabeticRetinopathy.isVerified ( )

define "Macular Exam Performed":
  ["ObservationClinicalResult": "Macular Exam"] MacularExam
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that MacularExam.effective.toInterval ( ) during EncounterDiabeticRetinopathy.period
    where MacularExam.value is not null
      and MacularExam.status in { 'final', 'amended', 'corrected' }

define "Results of Dilated Macular or Fundus Exam Communicated":
  exists "Level of Severity of Retinopathy Findings Communicated"
    and ( exists "Macular Edema Absence Communicated"
        or exists "Macular Edema Presence Communicated"
    )

define "Level of Severity of Retinopathy Findings Communicated":
  ["Communication": category in "Level of Severity of Retinopathy Findings"] LevelOfSeverityCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that LevelOfSeverityCommunicated.sent after start of EncounterDiabeticRetinopathy.period
        and LevelOfSeverityCommunicated.sent during day of "Measurement Period"
    where LevelOfSeverityCommunicated.status = 'completed'

define "Macular Edema Absence Communicated":
  ["Communication": category in "Macular Edema Findings Absent"] MacularEdemaAbsentCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that MacularEdemaAbsentCommunicated.sent after start of EncounterDiabeticRetinopathy.period
        and MacularEdemaAbsentCommunicated.sent during day of "Measurement Period"
    where MacularEdemaAbsentCommunicated.status = 'completed'

define "Macular Edema Presence Communicated":
  ["Communication": category in "Macular Edema Findings Present"] MacularEdemaPresentCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that MacularEdemaPresentCommunicated.sent after start of EncounterDiabeticRetinopathy.period
        and MacularEdemaPresentCommunicated.sent during "Measurement Period"
    where MacularEdemaPresentCommunicated.status = 'completed'

define "Medical or Patient Reason for Not Communicating Level of Severity of Retinopathy":
  [CommunicationNotDone: category in "Level of Severity of Retinopathy Findings"] LevelOfSeverityNotCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that LevelOfSeverityNotCommunicated.recorded () during day of EncounterDiabeticRetinopathy.period
    where ( LevelOfSeverityNotCommunicated.statusReason in "Medical Reason"
        or LevelOfSeverityNotCommunicated.statusReason in "Patient Reason"
    )

define "Medical or Patient Reason for Not Communicating Presence of Macular Edema":
  [CommunicationNotDone: category in "Macular Edema Findings Present"] MacularEdemaPresentNotCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that MacularEdemaPresentNotCommunicated.sent during day of EncounterDiabeticRetinopathy.period
    where ( MacularEdemaPresentNotCommunicated.statusReason in "Medical Reason"
        or MacularEdemaPresentNotCommunicated.statusReason in "Patient Reason"
    ) 

/* Note: 
below definition workaround for 
https://oncprojectracking.healthit.gov/support/browse/CQLIT-371. Using value set workaround has been applied for now
but when QI Core STU 5 gets in the tool, it may be reverted back to a DRC */


define "Medical or Patient Reason for Not Communicating Absence of Macular Edema":
  [CommunicationNotDone: category in "Macular Edema Findings Absent"] MacularEdemaAbsentNotCommunicated
    with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy
      such that MacularEdemaAbsentNotCommunicated.sent during day of EncounterDiabeticRetinopathy.period
    where ( MacularEdemaAbsentNotCommunicated.statusReason in "Medical Reason"
        or MacularEdemaAbsentNotCommunicated.statusReason in "Patient Reason"
    )

define fluent function isVerified(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
  condition.verificationStatus is not null implies ( condition.verificationStatus ~ Status."confirmed"
      or condition.verificationStatus ~ Status."unconfirmed"
      or condition.verificationStatus ~ Status."provisional"
      or condition.verificationStatus ~ Status."differential"
  )",
"url" : "https://madie.cms.gov/Library-CMS142FHIRCommWithDrManagingDiab.cql"
}
]
}