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

: CMS154FHIRAppropriateTxforURI - XML Representation

Draft as of 2026-09-19

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<Library xmlns="http://hl7.org/fhir">
  <id value="CMS154FHIRAppropriateTxforURI"/>
  <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 CMS154FHIRAppropriateTxforURI 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 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
include Antibiotic version '2.1.000' called Antibiotic

codesystem &quot;CPT&quot;: 'http://www.ama-assn.org/go/cpt'

valueset &quot;Acute Pharyngitis&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011'
valueset &quot;Acute Tonsillitis&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012'
valueset &quot;Antibiotic Medications for Upper Respiratory Infection&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001'
valueset &quot;Comorbid Conditions for Respiratory Conditions&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1025'
valueset &quot;Competing Conditions for Respiratory Conditions&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1017'
valueset &quot;Emergency Department Evaluation and Management Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1010'
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;Medical Disability Exam&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1073'
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;Preventive Care Services Established Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'
valueset &quot;Preventive Care Services Group Counseling&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027'
valueset &quot;Preventive Care Services Individual Counseling&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'
valueset &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
valueset &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'
valueset &quot;Preventive Care, Established Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'
valueset &quot;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset &quot;Upper Respiratory Infection&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1022'
valueset &quot;Virtual Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'

code &quot;Unlisted preventive medicine service&quot;: '99429' from &quot;CPT&quot; display 'Unlisted preventive medicine service'

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;Initial Population&quot;:
  &quot;Encounter with Upper Respiratory Infection&quot; EncounterWithURI
    where AgeInMonthsAt(date from start of &quot;Measurement Period&quot;) &gt;= 3
    return EncounterWithURI

define &quot;Encounters and Assessments with Hospice Patient&quot;:
  &quot;Initial Population&quot; EligibleEncounters
    where Hospice.&quot;Has Hospice Services&quot;

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

define &quot;Denominator Exclusions&quot;:
  &quot;Encounters and Assessments with Hospice Patient&quot;
    union Antibiotic.&quot;Encounter with Comorbid Condition History&quot; ( &quot;Encounter with Upper Respiratory Infection&quot;, ( [ConditionEncounterDiagnosis: &quot;Comorbid Conditions for Respiratory Conditions&quot;] ).verified ( ) )
    union Antibiotic.&quot;Encounter with Antibiotic Medication History&quot; ( &quot;Encounter with Upper Respiratory Infection&quot;, ( [MedicationRequest: &quot;Antibiotic Medications for Upper Respiratory Infection&quot;] ).isMedicationActive ( ) )
    union Antibiotic.&quot;Encounter with Competing Diagnosis History&quot; ( &quot;Encounter with Upper Respiratory Infection&quot;, ( [ConditionEncounterDiagnosis: &quot;Competing Conditions for Respiratory Conditions&quot;]
        union [ConditionEncounterDiagnosis: &quot;Acute Pharyngitis&quot;]
        union [ConditionEncounterDiagnosis: &quot;Acute Tonsillitis&quot;]
    ).verified ( ) )

define &quot;Encounter with Upper Respiratory Infection&quot;:
  from
    &quot;Qualifying Encounters&quot; QualifyingEncounters,
    ( ( [ConditionEncounterDiagnosis: &quot;Upper Respiratory Infection&quot;] ).verified ( ) ) URI
    where URI.prevalenceInterval ( ) starts during day of QualifyingEncounters.period
      or URI.prevalenceInterval ( ) overlaps before QualifyingEncounters.period
    return QualifyingEncounters

define &quot;Qualifying Encounters&quot;:
  ( ( [Encounter: &quot;Emergency Department Evaluation and Management Visit&quot;]
      union [Encounter: &quot;Home Healthcare Services&quot;]
      union [Encounter: &quot;Medical Disability Exam&quot;]
      union [Encounter: &quot;Office Visit&quot;]
      union [Encounter: &quot;Outpatient Consultation&quot;]
      union [Encounter: &quot;Preventive Care Services Group Counseling&quot;]
      union [Encounter: &quot;Preventive Care Services Individual Counseling&quot;]
      union [Encounter: &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;]
      union [Encounter: &quot;Preventive Care, Established Office Visit, 0 to 17&quot;]
      union [Encounter: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
      union [Encounter: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
      union [Encounter: &quot;Telephone Visits&quot;]
      union [Encounter: &quot;Virtual Encounter&quot;]
      union ( [Encounter] E
          where exists ( ( E.type ) T
              where T ~ &quot;Unlisted preventive medicine service&quot;
          )
      )
  ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period ends during day of Interval[( start of &quot;Measurement Period&quot; ), ( end of &quot;Measurement Period&quot; ) - 3 days]

define &quot;Numerator&quot;:
  &quot;Encounter with Upper Respiratory Infection&quot; EncounterWithURI
    without ( ( [MedicationRequest: &quot;Antibiotic Medications for Upper Respiratory Infection&quot;] ).isMedicationOrder ( ) ) OrderedAntibiotic
      such that OrderedAntibiotic.authoredOn 3 days or less on or after start of EncounterWithURI.period
    return EncounterWithURI

define &quot;Stratification 1&quot;:
  &quot;Encounter with Upper Respiratory Infection&quot; EncounterWithURI
    where AgeInMonthsAt(date from start of &quot;Measurement Period&quot;) &gt;= 3
      and AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt;= 17
    return EncounterWithURI

define &quot;Stratification 2&quot;:
  &quot;Encounter with Upper Respiratory Infection&quot; EncounterWithURI
    where AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[18, 64]
    return EncounterWithURI

define &quot;Stratification 3&quot;:
  &quot;Encounter with Upper Respiratory Infection&quot; EncounterWithURI
    where AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt;= 65
    return EncounterWithURI</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/CMS154FHIRAppropriateTxforURI"/>
  <version value="1.1.000"/>
  <name value="CMS154FHIRAppropriateTxforURI"/>
  <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 CMS154FHIRAppropriateTxforURI 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 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
include Antibiotic version '2.1.000' called Antibiotic

codesystem "CPT": 'http://www.ama-assn.org/go/cpt'

valueset "Acute Pharyngitis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011'
valueset "Acute Tonsillitis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012'
valueset "Antibiotic Medications for Upper Respiratory Infection": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001'
valueset "Comorbid Conditions for Respiratory Conditions": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1025'
valueset "Competing Conditions for Respiratory Conditions": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1017'
valueset "Emergency Department Evaluation and Management Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1010'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Medical Disability Exam": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1073'
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 "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 Group Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027'
valueset "Preventive Care Services Individual Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'
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 "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset "Upper Respiratory Infection": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1022'
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089'

code "Unlisted preventive medicine service": '99429' from "CPT" display 'Unlisted preventive medicine service'

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":
  "Encounter with Upper Respiratory Infection" EncounterWithURI
    where AgeInMonthsAt(date from start of "Measurement Period") >= 3
    return EncounterWithURI

define "Encounters and Assessments with Hospice Patient":
  "Initial Population" EligibleEncounters
    where Hospice."Has Hospice Services"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  "Encounters and Assessments with Hospice Patient"
    union Antibiotic."Encounter with Comorbid Condition History" ( "Encounter with Upper Respiratory Infection", ( [ConditionEncounterDiagnosis: "Comorbid Conditions for Respiratory Conditions"] ).verified ( ) )
    union Antibiotic."Encounter with Antibiotic Medication History" ( "Encounter with Upper Respiratory Infection", ( [MedicationRequest: "Antibiotic Medications for Upper Respiratory Infection"] ).isMedicationActive ( ) )
    union Antibiotic."Encounter with Competing Diagnosis History" ( "Encounter with Upper Respiratory Infection", ( [ConditionEncounterDiagnosis: "Competing Conditions for Respiratory Conditions"]
        union [ConditionEncounterDiagnosis: "Acute Pharyngitis"]
        union [ConditionEncounterDiagnosis: "Acute Tonsillitis"]
    ).verified ( ) )

define "Encounter with Upper Respiratory Infection":
  from
    "Qualifying Encounters" QualifyingEncounters,
    ( ( [ConditionEncounterDiagnosis: "Upper Respiratory Infection"] ).verified ( ) ) URI
    where URI.prevalenceInterval ( ) starts during day of QualifyingEncounters.period
      or URI.prevalenceInterval ( ) overlaps before QualifyingEncounters.period
    return QualifyingEncounters

define "Qualifying Encounters":
  ( ( [Encounter: "Emergency Department Evaluation and Management Visit"]
      union [Encounter: "Home Healthcare Services"]
      union [Encounter: "Medical Disability Exam"]
      union [Encounter: "Office Visit"]
      union [Encounter: "Outpatient Consultation"]
      union [Encounter: "Preventive Care Services Group Counseling"]
      union [Encounter: "Preventive Care Services Individual Counseling"]
      union [Encounter: "Preventive Care Services, Initial Office Visit, 0 to 17"]
      union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]
      union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]
      union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]
      union [Encounter: "Telephone Visits"]
      union [Encounter: "Virtual Encounter"]
      union ( [Encounter] E
          where exists ( ( E.type ) T
              where T ~ "Unlisted preventive medicine service"
          )
      )
  ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period ends during day of Interval[( start of "Measurement Period" ), ( end of "Measurement Period" ) - 3 days]

define "Numerator":
  "Encounter with Upper Respiratory Infection" EncounterWithURI
    without ( ( [MedicationRequest: "Antibiotic Medications for Upper Respiratory Infection"] ).isMedicationOrder ( ) ) OrderedAntibiotic
      such that OrderedAntibiotic.authoredOn 3 days or less on or after start of EncounterWithURI.period
    return EncounterWithURI

define "Stratification 1":
  "Encounter with Upper Respiratory Infection" EncounterWithURI
    where AgeInMonthsAt(date from start of "Measurement Period") >= 3
      and AgeInYearsAt(date from start of "Measurement Period") <= 17
    return EncounterWithURI

define "Stratification 2":
  "Encounter with Upper Respiratory Infection" EncounterWithURI
    where AgeInYearsAt(date from start of "Measurement Period") in Interval[18, 64]
    return EncounterWithURI

define "Stratification 3":
  "Encounter with Upper Respiratory Infection" EncounterWithURI
    where AgeInYearsAt(date from start of "Measurement Period") >= 65
    return EncounterWithURI"/>
    <url
         value="https://madie.cms.gov/Library-CMS154FHIRAppropriateTxforURI.cql"/>
  </content>
</Library>