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

: CMS143FHIRPOAGOpticNerveEval - XML Representation

Draft as of 2026-09-19

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="CMS143FHIRPOAGOpticNerveEval"/>
  <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 CMS143FHIRPOAGOpticNerveEval 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 &quot;ActCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'

valueset &quot;Care Services in Long-Term Residential Facility&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'
valueset &quot;Cup to Disc Ratio&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1333'
valueset &quot;Medical Reason&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007'
valueset &quot;Nursing Facility Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset &quot;Ophthalmological Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'
valueset &quot;Optic Disc Exam for Structural Abnormalities&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1334'
valueset &quot;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset &quot;Primary Open-Angle Glaucoma&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.326'

code &quot;virtual&quot;: 'VR' from &quot;ActCode&quot; display 'virtual'

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;

define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;

define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;

define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&quot;

define &quot;Denominator&quot;:
  &quot;Initial Population&quot;

define &quot;Denominator Exceptions&quot;:
  exists &quot;Medical Reason for Not Performing Cup to Disc Ratio&quot;
    or exists &quot;Medical Reason for Not Performing Optic Disc Exam&quot;

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

define &quot;Initial Population&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt;= 18
    and exists &quot;Primary Open Angle Glaucoma Encounter&quot;

define &quot;Primary Open Angle Glaucoma Encounter&quot;:
  &quot;Qualifying Encounter During Measurement Period&quot; ValidQualifyingEncounter
    with (
      // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
      // Original:
      //   ( [&quot;ConditionProblemsHealthConcerns&quot;: &quot;Primary Open-Angle Glaucoma&quot;]
      //     union [&quot;ConditionEncounterDiagnosis&quot;: &quot;Primary Open-Angle Glaucoma&quot;] )
      [FHIR.Condition: &quot;Primary Open-Angle Glaucoma&quot;] ) PrimaryOpenAngleGlaucoma
      such that PrimaryOpenAngleGlaucoma.prevalenceInterval ( ) overlaps day of ValidQualifyingEncounter.period
        and PrimaryOpenAngleGlaucoma.isVerified ( )

define &quot;Cup to Disc Ratio Performed with Result&quot;:
  [&quot;ObservationClinicalResult&quot;: &quot;Cup to Disc Ratio&quot;] CupToDiscExamPerformed
    with &quot;Primary Open Angle Glaucoma Encounter&quot; EncounterWithPOAG
      such that CupToDiscExamPerformed.effective.toInterval ( ) during day of EncounterWithPOAG.period
    where CupToDiscExamPerformed.value is not null
      and CupToDiscExamPerformed.status in { 'final', 'amended', 'corrected' }

define &quot;Optic Disc Exam Performed with Result&quot;:
  [&quot;ObservationClinicalResult&quot;: &quot;Optic Disc Exam for Structural Abnormalities&quot;] OpticDiscExamPerformed
    with &quot;Primary Open Angle Glaucoma Encounter&quot; EncounterWithPOAG
      such that OpticDiscExamPerformed.effective.toInterval ( ) during day of EncounterWithPOAG.period
    where OpticDiscExamPerformed.value is not null
      and OpticDiscExamPerformed.status in { 'final', 'amended', 'corrected' }

define &quot;Numerator&quot;:
  exists &quot;Cup to Disc Ratio Performed with Result&quot;
    and exists &quot;Optic Disc Exam Performed with Result&quot;

define &quot;Medical Reason for Not Performing Cup to Disc Ratio&quot;:
  [&quot;ObservationCancelled&quot;: &quot;Cup to Disc Ratio&quot;] CupToDiscExamNotPerformed
    with &quot;Primary Open Angle Glaucoma Encounter&quot; EncounterWithPOAG
      such that CupToDiscExamNotPerformed.issued during day of EncounterWithPOAG.period
    where CupToDiscExamNotPerformed.notDoneReason ( ) in &quot;Medical Reason&quot;

define &quot;Medical Reason for Not Performing Optic Disc Exam&quot;:
  [&quot;ObservationCancelled&quot;: &quot;Optic Disc Exam for Structural Abnormalities&quot;] OpticDiscExamNotPerformed
    with &quot;Primary Open Angle Glaucoma Encounter&quot; EncounterWithPOAG
      such that OpticDiscExamNotPerformed.issued during day of EncounterWithPOAG.period
    where OpticDiscExamNotPerformed.notDoneReason ( ) in &quot;Medical Reason&quot;

define fluent function isVerified(condition Choice&lt;ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns&gt;):
  condition.verificationStatus is not null implies ( condition.verificationStatus ~ Status.&quot;confirmed&quot;
      or condition.verificationStatus ~ Status.&quot;unconfirmed&quot;
      or condition.verificationStatus ~ Status.&quot;provisional&quot;
      or condition.verificationStatus ~ Status.&quot;differential&quot;
  )</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/CMS143FHIRPOAGOpticNerveEval"/>
  <version value="1.1.000"/>
  <name value="CMS143FHIRPOAGOpticNerveEval"/>
  <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
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    <url
         value="https://madie.cms.gov/Library-CMS143FHIRPOAGOpticNerveEval.cql"/>
  </content>
</Library>