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" : "CMS155FHIRWgtAssessCounseling",
"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 CMS155FHIRWgtAssessCounseling 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 Hospice version '7.1.000' called Hospice\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\nvalueset "Counseling for Nutrition": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.195.12.1003'\nvalueset "Counseling for Physical Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1035'\nvalueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.378'\nvalueset "Preventive Care Services Group Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027'\nvalueset "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'\nvalueset "Preventive Care Services Individual Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'\nvalueset "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'\nvalueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'\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 "Initial Population":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) in Interval[3, 17]\n and exists "Qualifying Encounters"\n\ndefine "Denominator":\n "Initial Population"\n\ndefine "Denominator Exclusions":\n Hospice."Has Hospice Services"\n or exists "Pregnancy Diagnosis Which Overlaps Measurement Period"\n\ndefine "Pregnancy Diagnosis Which Overlaps Measurement Period":\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // [ConditionProblemsHealthConcerns: "Pregnancy"]\n // union [ConditionEncounterDiagnosis: "Pregnancy"]\n ( ( [FHIR.Condition: "Pregnancy"] ).verified ( ) ) PregnancyDiag\n where PregnancyDiag.prevalenceInterval ( ) overlaps "Measurement Period"\n\ndefine "Numerator 1":\n exists "BMI Percentile in Measurement Period"\n and exists "Height in Measurement Period"\n and exists "Weight in Measurement Period"\n\ndefine "Numerator 2":\n exists ( ( [Procedure: "Counseling for Nutrition"] ).isInterventionPerformed ( ) ) NutritionCounseling\n where NutritionCounseling.performed.toInterval ( ) during day of "Measurement Period"\n\ndefine "Numerator 3":\n exists ( ( [Procedure: "Counseling for Physical Activity"] ).isInterventionPerformed ( ) ) ActivityCounseling\n where ActivityCounseling.performed.toInterval ( ) during day of "Measurement Period"\n\ndefine "Stratification 1":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) in Interval[3, 11]\n\ndefine "Stratification 2":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) in Interval[12, 17]\n\ndefine "Qualifying Encounters":\n ( ( [Encounter: "Office Visit"]\n union [Encounter: "Preventive Care Services Individual Counseling"]\n union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]\n union [Encounter: "Preventive Care Services, Initial Office Visit, 0 to 17"]\n union [Encounter: "Preventive Care Services Group Counseling"]\n union [Encounter: "Home Healthcare Services"]\n union [Encounter: "Telephone Visits"]\n ).isEncounterPerformed ( ) ) ValidEncounters\n where ValidEncounters.period during day of "Measurement Period"\n\ndefine "Height in Measurement Period":\n ( ( [USCore.BodyHeightProfile] ).isObservationBodyHeight ( ) ) HeightExam\n where HeightExam.effective.toInterval ( ) during day of "Measurement Period"\n and HeightExam.value is not null\n\ndefine "Weight in Measurement Period":\n ( ( [USCore.BodyWeightProfile] ).isObservationBodyWeight ( ) ) WeightExam\n where WeightExam.effective.toInterval ( ) during day of "Measurement Period"\n and WeightExam.value is not null\n\ndefine "BMI Percentile in Measurement Period":\n ( ( [USCore.PediatricBMIforAgeObservationProfile] ).isObservationPediatricBMI ( ) ) BMIPercentile\n where BMIPercentile.effective.toInterval ( ) during day of "Measurement Period"\n and BMIPercentile.value is not null</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/CMS155FHIRWgtAssessCounseling",
"version" : "1.1.000",
"name" : "CMS155FHIRWgtAssessCounseling",
"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-CMS155FHIRWgtAssessCounseling.cql"
}
]
}