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="CMS153FHIRChlamydiaScreening"/>
<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 CMS153FHIRChlamydiaScreening 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.CumulativeMedicationDuration version '2.0.0-ballot' called CMD
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
codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'
valueset "Chlamydia Screening": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1052'
valueset "Complications of Pregnancy, Childbirth and the Puerperium": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012'
valueset "Contraceptive Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1080'
valueset "Diagnoses Used to Indicate Sexual Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1018'
valueset "Diagnostic Studies During Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1008'
valueset "HIV": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Isotretinoin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1143'
valueset "Lab Tests During Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1007'
valueset "Lab Tests for Sexually Transmitted Infections": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1051'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'
valueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017'
valueset "Pregnancy Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1011'
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 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 "Preventive Care Services, Initial Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'
valueset "Preventive Care, Established Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'
valueset "Procedures Used to Indicate Sexual Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1017'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset "XRay Study": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1034'
code "Female (finding)": '248152002' from "SNOMEDCT" display 'Female (finding)'
code "Have you ever had vaginal intercourse [PhenX]": '64728-9' from "LOINC" display 'Have you ever had vaginal intercourse [PhenX]'
code "Yes (qualifier value)": '373066001' from "SNOMEDCT" display 'Yes (qualifier value)'
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
end of "Measurement Period"
) in Interval[16, 24]
and Patient.sex ( ) = '248152002'
and exists ( "Qualifying Encounters" )
and ( ( "Has Assessments Identifying Sexual Activity" )
or ( "Has Diagnoses Identifying Sexual Activity" )
or ( "Has Active Contraceptive Medications" )
or ( "Has Ordered Contraceptive Medications" )
or ( "Has Laboratory Tests Identifying Sexual Activity" )
or ( "Has Diagnostic Studies Identifying Sexual Activity" )
or ( "Has Procedures Identifying Sexual Activity" )
)
define "Qualifying Encounters":
( ( [Encounter: "Office 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: "Preventive Care Services, Initial Office Visit, 0 to 17"]
union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]
union [Encounter: "Home Healthcare Services"]
union [Encounter: "Telephone Visits"]
union [Encounter: "Virtual Encounter"]
).isEncounterPerformed ( ) ) ValidEncounters
where ValidEncounters.period during day of "Measurement Period"
define "Has Diagnoses Identifying Sexual Activity":
// [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
// Original:
// [ConditionEncounterDiagnosis: "Diagnoses Used to Indicate Sexual Activity"]
// union [ConditionProblemsHealthConcerns: "Diagnoses Used to Indicate Sexual Activity"]
// union [ConditionEncounterDiagnosis: "HIV"]
// union [ConditionProblemsHealthConcerns: "HIV"]
// union [ConditionEncounterDiagnosis: "Complications of Pregnancy, Childbirth and the Puerperium"]
// union [ConditionProblemsHealthConcerns: "Complications of Pregnancy, Childbirth and the Puerperium"]
exists ( ( ( [FHIR.Condition: "Diagnoses Used to Indicate Sexual Activity"]
union [FHIR.Condition: "HIV"]
union [FHIR.Condition: "Complications of Pregnancy, Childbirth and the Puerperium"]
).verified ( ) ) SexualActivityDiagnosis
where SexualActivityDiagnosis.prevalenceInterval ( ) overlaps "Measurement Period"
)
define "Has Active Contraceptive Medications":
exists ( ( [MedicationRequest: "Contraceptive Medications"] ).isMedicationActive ( ) ) ActiveContraceptives
where ActiveContraceptives.medicationRequestPeriod ( ) overlaps "Measurement Period"
define "Has Ordered Contraceptive Medications":
exists ( ( [MedicationRequest: "Contraceptive Medications"] ).isMedicationOrder ( ) ) OrderedContraceptives
where OrderedContraceptives.authoredOn.toInterval ( ) during day of "Measurement Period"
define "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy":
exists ( ( [ServiceRequest: "Pap Test"]
union [ServiceRequest: "Lab Tests During Pregnancy"]
union [ServiceRequest: "Lab Tests for Sexually Transmitted Infections"]
).isLaboratoryTestOrder ( ) ) LabOrders
where LabOrders.authoredOn.toInterval ( ) during day of "Measurement Period"
define "Has Laboratory Tests Identifying Sexual Activity":
exists ( ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTest
where PregnancyTest.authoredOn.toInterval ( ) during day of "Measurement Period"
)
or "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy"
define "Has Diagnostic Studies Identifying Sexual Activity":
exists ( ( [ServiceRequest: "Diagnostic Studies During Pregnancy"] ).isDiagnosticStudyOrder ( ) ) SexualActivityDiagnostics
where SexualActivityDiagnostics.authoredOn.toInterval ( ) during day of "Measurement Period"
define "Has Procedures Identifying Sexual Activity":
exists ( ( [Procedure: "Procedures Used to Indicate Sexual Activity"] ).isProcedurePerformed ( ) ) ProceduresForSexualActivity
where ProceduresForSexualActivity.performed.toInterval ( ) during day of "Measurement Period"
define "Denominator":
"Initial Population"
define "Denominator Exclusions":
Hospice."Has Hospice Services"
or ( ( "Has Pregnancy Test Exclusion" )
and not ( "Has Assessments Identifying Sexual Activity" )
and not ( "Has Diagnoses Identifying Sexual Activity" )
and not ( "Has Active Contraceptive Medications" )
and not ( "Has Ordered Contraceptive Medications" )
and not ( "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy" )
and not ( "Has Diagnostic Studies Identifying Sexual Activity" )
and not ( "Has Procedures Identifying Sexual Activity" )
)
define "Has Pregnancy Test Exclusion":
exists ( ( ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTest
with ( ( [ServiceRequest: "XRay Study"] ).isDiagnosticStudyOrder ( ) ) XrayOrder
such that XrayOrder.authoredOn.toInterval ( ) occurs 6 days or less on or after day of PregnancyTest.authoredOn.toInterval ( )
where PregnancyTest.authoredOn.toInterval ( ) during "Measurement Period"
)
union ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTestOrder
with ( ( [MedicationRequest: "Isotretinoin"] ).isMedicationOrder ( ) ) AccutaneOrder
such that AccutaneOrder.authoredOn.toInterval ( ) occurs 6 days or less on or after day of PregnancyTestOrder.authoredOn.toInterval ( )
where PregnancyTestOrder.authoredOn.toInterval ( ) during "Measurement Period"
)
define "Numerator":
exists ( ( ( [LaboratoryResultObservation: "Chlamydia Screening"] ).isLaboratoryTestPerformed ( ) ) ChlamydiaTest
where ChlamydiaTest.effective.latest ( ) during day of "Measurement Period"
and ChlamydiaTest.value is not null
)
define "Stratification 1":
AgeInYearsAt(date from
end of "Measurement Period"
) in Interval[16, 20]
define "Stratification 2":
AgeInYearsAt(date from
end of "Measurement Period"
) in Interval[21, 24]
define "Has Assessments Identifying Sexual Activity":
exists ( ( ( [ObservationScreeningAssessment: "Have you ever had vaginal intercourse [PhenX]"] ).isAssessmentPerformed ( ) ) SexualActivityAssessment
where SexualActivityAssessment.value ~ "Yes (qualifier value)"
and SexualActivityAssessment.effective.toInterval ( ) on or before end 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/CMS153FHIRChlamydiaScreening"/>
<version value="1.1.000"/>
<name value="CMS153FHIRChlamydiaScreening"/>
<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="/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library CMS153FHIRChlamydiaScreening 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.CumulativeMedicationDuration version '2.0.0-ballot' called CMD
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

codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Chlamydia Screening": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1052'
valueset "Complications of Pregnancy, Childbirth and the Puerperium": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012'
valueset "Contraceptive Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1080'
valueset "Diagnoses Used to Indicate Sexual Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1018'
valueset "Diagnostic Studies During Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1008'
valueset "HIV": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Isotretinoin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1143'
valueset "Lab Tests During Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1007'
valueset "Lab Tests for Sexually Transmitted Infections": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1051'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'
valueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017'
valueset "Pregnancy Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1011'
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 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 "Preventive Care Services, Initial Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'
valueset "Preventive Care, Established Office Visit, 0 to 17": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'
valueset "Procedures Used to Indicate Sexual Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1017'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset "XRay Study": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1034'

code "Female (finding)": '248152002' from "SNOMEDCT" display 'Female (finding)'
code "Have you ever had vaginal intercourse [PhenX]": '64728-9' from "LOINC" display 'Have you ever had vaginal intercourse [PhenX]'
code "Yes (qualifier value)": '373066001' from "SNOMEDCT" display 'Yes (qualifier value)'

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 
    end of "Measurement Period"
  ) in Interval[16, 24]
    and Patient.sex ( ) = '248152002'
    and exists ( "Qualifying Encounters" )
    and ( ( "Has Assessments Identifying Sexual Activity" )
        or ( "Has Diagnoses Identifying Sexual Activity" )
        or ( "Has Active Contraceptive Medications" )
        or ( "Has Ordered Contraceptive Medications" )
        or ( "Has Laboratory Tests Identifying Sexual Activity" )
        or ( "Has Diagnostic Studies Identifying Sexual Activity" )
        or ( "Has Procedures Identifying Sexual Activity" )
    )

define "Qualifying Encounters":
  ( ( [Encounter: "Office 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: "Preventive Care Services, Initial Office Visit, 0 to 17"]
      union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]
      union [Encounter: "Home Healthcare Services"]
      union [Encounter: "Telephone Visits"]
      union [Encounter: "Virtual Encounter"]
  ).isEncounterPerformed ( ) ) ValidEncounters
    where ValidEncounters.period during day of "Measurement Period"

define "Has Diagnoses Identifying Sexual Activity":
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   [ConditionEncounterDiagnosis: "Diagnoses Used to Indicate Sexual Activity"]
  //     union [ConditionProblemsHealthConcerns: "Diagnoses Used to Indicate Sexual Activity"]
  //     union [ConditionEncounterDiagnosis: "HIV"]
  //     union [ConditionProblemsHealthConcerns: "HIV"]
  //     union [ConditionEncounterDiagnosis: "Complications of Pregnancy, Childbirth and the Puerperium"]
  //     union [ConditionProblemsHealthConcerns: "Complications of Pregnancy, Childbirth and the Puerperium"]
  exists ( ( ( [FHIR.Condition: "Diagnoses Used to Indicate Sexual Activity"]
        union [FHIR.Condition: "HIV"]
        union [FHIR.Condition: "Complications of Pregnancy, Childbirth and the Puerperium"]
    ).verified ( ) ) SexualActivityDiagnosis
      where SexualActivityDiagnosis.prevalenceInterval ( ) overlaps "Measurement Period"
  )

define "Has Active Contraceptive Medications":
  exists ( ( [MedicationRequest: "Contraceptive Medications"] ).isMedicationActive ( ) ) ActiveContraceptives
    where ActiveContraceptives.medicationRequestPeriod ( ) overlaps "Measurement Period"

define "Has Ordered Contraceptive Medications":
  exists ( ( [MedicationRequest: "Contraceptive Medications"] ).isMedicationOrder ( ) ) OrderedContraceptives
    where OrderedContraceptives.authoredOn.toInterval ( ) during day of "Measurement Period"

define "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy":
  exists ( ( [ServiceRequest: "Pap Test"]
      union [ServiceRequest: "Lab Tests During Pregnancy"]
      union [ServiceRequest: "Lab Tests for Sexually Transmitted Infections"]
  ).isLaboratoryTestOrder ( ) ) LabOrders
    where LabOrders.authoredOn.toInterval ( ) during day of "Measurement Period"

define "Has Laboratory Tests Identifying Sexual Activity":
  exists ( ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTest
      where PregnancyTest.authoredOn.toInterval ( ) during day of "Measurement Period"
  )
    or "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy"

define "Has Diagnostic Studies Identifying Sexual Activity":
  exists ( ( [ServiceRequest: "Diagnostic Studies During Pregnancy"] ).isDiagnosticStudyOrder ( ) ) SexualActivityDiagnostics
    where SexualActivityDiagnostics.authoredOn.toInterval ( ) during day of "Measurement Period"

define "Has Procedures Identifying Sexual Activity":
  exists ( ( [Procedure: "Procedures Used to Indicate Sexual Activity"] ).isProcedurePerformed ( ) ) ProceduresForSexualActivity
    where ProceduresForSexualActivity.performed.toInterval ( ) during day of "Measurement Period"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  Hospice."Has Hospice Services"
    or ( ( "Has Pregnancy Test Exclusion" )
        and not ( "Has Assessments Identifying Sexual Activity" )
        and not ( "Has Diagnoses Identifying Sexual Activity" )
        and not ( "Has Active Contraceptive Medications" )
        and not ( "Has Ordered Contraceptive Medications" )
        and not ( "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy" )
        and not ( "Has Diagnostic Studies Identifying Sexual Activity" )
        and not ( "Has Procedures Identifying Sexual Activity" )
    )

define "Has Pregnancy Test Exclusion":
  exists ( ( ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTest
        with ( ( [ServiceRequest: "XRay Study"] ).isDiagnosticStudyOrder ( ) ) XrayOrder
          such that XrayOrder.authoredOn.toInterval ( ) occurs 6 days or less on or after day of PregnancyTest.authoredOn.toInterval ( )
        where PregnancyTest.authoredOn.toInterval ( ) during "Measurement Period"
    )
      union ( ( [ServiceRequest: "Pregnancy Test"] ).isLaboratoryTestOrder ( ) ) PregnancyTestOrder
        with ( ( [MedicationRequest: "Isotretinoin"] ).isMedicationOrder ( ) ) AccutaneOrder
          such that AccutaneOrder.authoredOn.toInterval ( ) occurs 6 days or less on or after day of PregnancyTestOrder.authoredOn.toInterval ( )
        where PregnancyTestOrder.authoredOn.toInterval ( ) during "Measurement Period"
  )

define "Numerator":
  exists ( ( ( [LaboratoryResultObservation: "Chlamydia Screening"] ).isLaboratoryTestPerformed ( ) ) ChlamydiaTest
      where ChlamydiaTest.effective.latest ( ) during day of "Measurement Period"
        and ChlamydiaTest.value is not null
  )

define "Stratification 1":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[16, 20]

define "Stratification 2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[21, 24]

define "Has Assessments Identifying Sexual Activity":
  exists ( ( ( [ObservationScreeningAssessment: "Have you ever had vaginal intercourse [PhenX]"] ).isAssessmentPerformed ( ) ) SexualActivityAssessment
      where SexualActivityAssessment.value ~ "Yes (qualifier value)"
        and SexualActivityAssessment.effective.toInterval ( ) on or before end of "Measurement Period"
  )"/>
<url
value="https://madie.cms.gov/Library-CMS153FHIRChlamydiaScreening.cql"/>
</content>
</Library>