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

: CMS149FHIRDementiaCognitiveAssess - XML Representation

Draft as of 2026-09-19

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="CMS149FHIRDementiaCognitiveAssess"/>
  <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">1.0.000</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">library CMS149FHIRDementiaCognitiveAssess version '1.0.000'

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 SupplementalDataElements version '6.1.000' called SDE

include Status version '2.1.000' called Status
include USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon

valueset &quot;Behavioral or Neuropsych Assessment&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1023'
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;Cognitive Assessment&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1332'
valueset &quot;Dementia &amp; Mental Degenerations&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1005'
valueset &quot;Face-to-Face Interaction&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048'
valueset &quot;Home Healthcare Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
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;Occupational Therapy Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011'
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;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset &quot;Patient Provider Interaction&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1012'
valueset &quot;Patient Reason&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008'
valueset &quot;Psych Visit Diagnostic Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset &quot;Psych Visit Psychotherapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset &quot;Standardized Tools for Assessment of Cognition&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1006'

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

/***Population Criteria***/


define &quot;Initial Population&quot;:
  exists &quot;Dementia Encounter During Measurement Period&quot;
    and ( Count(&quot;Qualifying Encounter During Measurement Period&quot;) &gt;= 2 )

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

define &quot;Numerator&quot;:
  exists &quot;Assessment of Cognition Using Standardized Tools or Alternate Methods&quot;

define &quot;Denominator Exceptions&quot;:
  exists &quot;Patient Reason for Not Performing Assessment of Cognition Using Standardized Tools or Alternate Methods&quot;

/***Definitions***/


define &quot;Assessment of Cognition Using Standardized Tools or Alternate Methods&quot;:
  ( [&quot;ObservationScreeningAssessment&quot;: &quot;Standardized Tools for Assessment of Cognition&quot;]
    union [&quot;ObservationScreeningAssessment&quot;: &quot;Cognitive Assessment&quot;] ) CognitiveAssessment
    with &quot;Dementia Encounter During Measurement Period&quot; EncounterDementia
      such that CognitiveAssessment.effective.toInterval ( ) starts 12 months or less on or before day of end of EncounterDementia.period
    where CognitiveAssessment.value is not null
      and CognitiveAssessment.status in { 'final', 'amended', 'corrected' }

define &quot;Dementia Encounter During Measurement Period&quot;:
  &quot;Encounter to Assess Cognition&quot; EncounterAssessCognition
    with ( [Condition: &quot;Dementia &amp; Mental Degenerations&quot;] ) Dementia
      such that EncounterAssessCognition.period during day of &quot;Measurement Period&quot;
        and Dementia.prevalenceInterval ( ) overlaps day of EncounterAssessCognition.period
        and ( Dementia.abatement is null
            or end of Dementia.abatement.toInterval ( ) after day of end of &quot;Measurement Period&quot;
        )
        and Dementia.isVerified ( )

define &quot;Encounter to Assess Cognition&quot;:
  ( [&quot;Encounter&quot;: &quot;Psych Visit Diagnostic Evaluation&quot;]
    union [&quot;Encounter&quot;: &quot;Nursing Facility Visit&quot;]
    union [&quot;Encounter&quot;: &quot;Care Services in Long Term Residential Facility&quot;]
    union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]
    union [&quot;Encounter&quot;: &quot;Psych Visit Psychotherapy&quot;]
    union [&quot;Encounter&quot;: &quot;Behavioral or Neuropsych Assessment&quot;]
    union [&quot;Encounter&quot;: &quot;Occupational Therapy Evaluation&quot;]
    union [&quot;Encounter&quot;: &quot;Office Visit&quot;]
    union [&quot;Encounter&quot;: &quot;Outpatient Consultation&quot;] ) EncounterAssessCognition
    where EncounterAssessCognition.period during day of &quot;Measurement Period&quot;
      and EncounterAssessCognition.status ~ 'finished'

define &quot;Patient Reason for Not Performing Assessment of Cognition Using Standardized Tools or Alternate Methods&quot;:
  ( [ObservationCancelled: code in &quot;Standardized Tools for Assessment of Cognition&quot;]
    union [ObservationCancelled: code in &quot;Cognitive Assessment&quot;] ) NoCognitiveAssessment
    with &quot;Dementia Encounter During Measurement Period&quot; EncounterDementia
      such that NoCognitiveAssessment.issued during day of EncounterDementia.period
    // QI-Core had notDoneReason as a property, but now it is a fluentFunction in USQualityCoreCommon
    // Original:
    // where NoCognitiveAssessment.notDoneReason() in &quot;Patient Reason&quot;
    where NoCognitiveAssessment.notDoneReason() in &quot;Patient 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;
  )

define &quot;Qualifying Encounter During Measurement Period&quot;:
  ( &quot;Encounter to Assess Cognition&quot;
    union [&quot;Encounter&quot;: &quot;Patient Provider Interaction&quot;] ) ValidEncounter
    where ValidEncounter.period during day of &quot;Measurement Period&quot;
      and ValidEncounter.status = 'finished'

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

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

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

define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&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/CMS149FHIRDementiaCognitiveAssess"/>
  <version value="1.0.000"/>
  <name value="CMS149FHIRDementiaCognitiveAssess"/>
  <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="library CMS149FHIRDementiaCognitiveAssess version '1.0.000'

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 SupplementalDataElements version '6.1.000' called SDE

include Status version '2.1.000' called Status
include USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon

valueset "Behavioral or Neuropsych Assessment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1023'
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 "Cognitive Assessment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1332'
valueset "Dementia & Mental Degenerations": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1005'
valueset "Face-to-Face Interaction": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048'
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 "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset "Patient Provider Interaction": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1012'
valueset "Patient Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008'
valueset "Psych Visit Diagnostic Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset "Psych Visit Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset "Standardized Tools for Assessment of Cognition": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1006'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

/***Population Criteria***/


define "Initial Population":
  exists "Dementia Encounter During Measurement Period"
    and ( Count("Qualifying Encounter During Measurement Period") >= 2 )

define "Denominator":
  "Initial Population"

define "Numerator":
  exists "Assessment of Cognition Using Standardized Tools or Alternate Methods"

define "Denominator Exceptions":
  exists "Patient Reason for Not Performing Assessment of Cognition Using Standardized Tools or Alternate Methods"

/***Definitions***/


define "Assessment of Cognition Using Standardized Tools or Alternate Methods":
  ( ["ObservationScreeningAssessment": "Standardized Tools for Assessment of Cognition"]
    union ["ObservationScreeningAssessment": "Cognitive Assessment"] ) CognitiveAssessment
    with "Dementia Encounter During Measurement Period" EncounterDementia
      such that CognitiveAssessment.effective.toInterval ( ) starts 12 months or less on or before day of end of EncounterDementia.period
    where CognitiveAssessment.value is not null
      and CognitiveAssessment.status in { 'final', 'amended', 'corrected' }

define "Dementia Encounter During Measurement Period":
  "Encounter to Assess Cognition" EncounterAssessCognition
    with ( [Condition: "Dementia & Mental Degenerations"] ) Dementia
      such that EncounterAssessCognition.period during day of "Measurement Period"
        and Dementia.prevalenceInterval ( ) overlaps day of EncounterAssessCognition.period
        and ( Dementia.abatement is null
            or end of Dementia.abatement.toInterval ( ) after day of end of "Measurement Period"
        )
        and Dementia.isVerified ( )

define "Encounter to Assess Cognition":
  ( ["Encounter": "Psych Visit Diagnostic Evaluation"]
    union ["Encounter": "Nursing Facility Visit"]
    union ["Encounter": "Care Services in Long Term Residential Facility"]
    union ["Encounter": "Home Healthcare Services"]
    union ["Encounter": "Psych Visit Psychotherapy"]
    union ["Encounter": "Behavioral or Neuropsych Assessment"]
    union ["Encounter": "Occupational Therapy Evaluation"]
    union ["Encounter": "Office Visit"]
    union ["Encounter": "Outpatient Consultation"] ) EncounterAssessCognition
    where EncounterAssessCognition.period during day of "Measurement Period"
      and EncounterAssessCognition.status ~ 'finished'

define "Patient Reason for Not Performing Assessment of Cognition Using Standardized Tools or Alternate Methods":
  ( [ObservationCancelled: code in "Standardized Tools for Assessment of Cognition"]
    union [ObservationCancelled: code in "Cognitive Assessment"] ) NoCognitiveAssessment
    with "Dementia Encounter During Measurement Period" EncounterDementia
      such that NoCognitiveAssessment.issued during day of EncounterDementia.period
    // QI-Core had notDoneReason as a property, but now it is a fluentFunction in USQualityCoreCommon
    // Original:
    // where NoCognitiveAssessment.notDoneReason() in "Patient Reason"
    where NoCognitiveAssessment.notDoneReason() 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"
  )

define "Qualifying Encounter During Measurement Period":
  ( "Encounter to Assess Cognition"
    union ["Encounter": "Patient Provider Interaction"] ) ValidEncounter
    where ValidEncounter.period during day of "Measurement Period"
      and ValidEncounter.status = 'finished'

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex"

define "SDE Payer":
  SDE."SDE Payer""/>
    <url
         value="https://madie.cms.gov/Library-CMS149FHIRDementiaCognitiveAssess.cql"/>
  </content>
</Library>