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" : "CMS143FHIRPOAGOpticNerveEval",
"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 CMS143FHIRPOAGOpticNerveEval 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 "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 "Cup to Disc Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1333'\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 "Optic Disc Exam for Structural Abnormalities": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1334'\nvalueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'\nvalueset "Primary Open-Angle Glaucoma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.326'\n\ncode "virtual": 'VR' from "ActCode" display 'virtual'\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 "Denominator":\n "Initial Population"\n\ndefine "Denominator Exceptions":\n exists "Medical Reason for Not Performing Cup to Disc Ratio"\n or exists "Medical Reason for Not Performing Optic Disc Exam"\n\ndefine "Qualifying Encounter During Measurement Period":\n ( ["Encounter": "Office Visit"]\n union ["Encounter": "Ophthalmological Services"]\n union ["Encounter": "Outpatient Consultation"]\n union ["Encounter": "Nursing Facility Visit"]\n union ["Encounter": "Care Services in Long-Term Residential Facility"] ) QualifyingEncounter\n where QualifyingEncounter.period during day of "Measurement Period"\n and QualifyingEncounter.status = 'finished'\n and QualifyingEncounter.class !~ "virtual"\n\ndefine "Initial Population":\n AgeInYearsAt(date from start of "Measurement Period") >= 18\n and exists "Primary Open Angle Glaucoma Encounter"\n\ndefine "Primary Open Angle Glaucoma Encounter":\n "Qualifying Encounter During Measurement Period" ValidQualifyingEncounter\n with (\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // ( ["ConditionProblemsHealthConcerns": "Primary Open-Angle Glaucoma"]\n // union ["ConditionEncounterDiagnosis": "Primary Open-Angle Glaucoma"] )\n [FHIR.Condition: "Primary Open-Angle Glaucoma"] ) PrimaryOpenAngleGlaucoma\n such that PrimaryOpenAngleGlaucoma.prevalenceInterval ( ) overlaps day of ValidQualifyingEncounter.period\n and PrimaryOpenAngleGlaucoma.isVerified ( )\n\ndefine "Cup to Disc Ratio Performed with Result":\n ["ObservationClinicalResult": "Cup to Disc Ratio"] CupToDiscExamPerformed\n with "Primary Open Angle Glaucoma Encounter" EncounterWithPOAG\n such that CupToDiscExamPerformed.effective.toInterval ( ) during day of EncounterWithPOAG.period\n where CupToDiscExamPerformed.value is not null\n and CupToDiscExamPerformed.status in { 'final', 'amended', 'corrected' }\n\ndefine "Optic Disc Exam Performed with Result":\n ["ObservationClinicalResult": "Optic Disc Exam for Structural Abnormalities"] OpticDiscExamPerformed\n with "Primary Open Angle Glaucoma Encounter" EncounterWithPOAG\n such that OpticDiscExamPerformed.effective.toInterval ( ) during day of EncounterWithPOAG.period\n where OpticDiscExamPerformed.value is not null\n and OpticDiscExamPerformed.status in { 'final', 'amended', 'corrected' }\n\ndefine "Numerator":\n exists "Cup to Disc Ratio Performed with Result"\n and exists "Optic Disc Exam Performed with Result"\n\ndefine "Medical Reason for Not Performing Cup to Disc Ratio":\n ["ObservationCancelled": "Cup to Disc Ratio"] CupToDiscExamNotPerformed\n with "Primary Open Angle Glaucoma Encounter" EncounterWithPOAG\n such that CupToDiscExamNotPerformed.issued during day of EncounterWithPOAG.period\n where CupToDiscExamNotPerformed.notDoneReason ( ) in "Medical Reason"\n\ndefine "Medical Reason for Not Performing Optic Disc Exam":\n ["ObservationCancelled": "Optic Disc Exam for Structural Abnormalities"] OpticDiscExamNotPerformed\n with "Primary Open Angle Glaucoma Encounter" EncounterWithPOAG\n such that OpticDiscExamNotPerformed.issued during day of EncounterWithPOAG.period\n where OpticDiscExamNotPerformed.notDoneReason ( ) in "Medical Reason"\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/CMS143FHIRPOAGOpticNerveEval",
"version" : "1.1.000",
"name" : "CMS143FHIRPOAGOpticNerveEval",
"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-CMS143FHIRPOAGOpticNerveEval.cql"
}
]
}