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" : "CMS157FHIRPainIntensityQuantified",
"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 CMS157FHIRPainIntensityQuantified 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 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\ncodesystem "CPT": 'http://www.ama-assn.org/go/cpt'\n\nvalueset "Audio Visual Telehealth Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.1444.5.215'\nvalueset "Cancer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1010'\nvalueset "Chemotherapy Administration": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1027'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Radiation Treatment Management": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1026'\nvalueset "Standardized Pain Assessment Tool": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1028'\n\ncode "Radiation treatment management, 5 treatments": '77427' from "CPT" display 'Radiation treatment management, 5 treatments'\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 "Denominator 1":\n "Initial Population 1"\n\ndefine "Denominator 2":\n "Initial Population 2"\n\ndefine "Initial Population 1":\n "Face to Face or Telehealth Encounter with Ongoing Chemotherapy"\n\ndefine "Initial Population 2":\n "Radiation Treatment Management During Measurement Period with Cancer Diagnosis"\n\ndefine "Chemotherapy Within 31 Days Prior and During Measurement Period":\n [Procedure: "Chemotherapy Administration"] ChemoAdministration\n where ChemoAdministration.performed.toInterval ( ) during Interval[start of "Measurement Period" - 31 days, end of "Measurement Period"]\n and ChemoAdministration.status in { 'completed', 'in-progress' }\n\ndefine "Face to Face or Telehealth Encounter with Ongoing Chemotherapy":\n from\n ( [Encounter: "Office Visit"]\n union [Encounter: "Audio Visual Telehealth Encounter"] ) FaceToFaceOrTelehealthEncounter,\n "Chemotherapy Within 31 Days Prior and During Measurement Period" ChemoBeforeEncounter,\n "Chemotherapy Within 31 Days Prior and During Measurement Period" ChemoAfterEncounter,\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // ( [ConditionProblemsHealthConcerns: "Cancer"]\n // union [ConditionEncounterDiagnosis: "Cancer"] ) CancerDx\n [Condition: "Cancer"] CancerDx\n where CancerDx.prevalenceInterval ( ) overlaps day of FaceToFaceOrTelehealthEncounter.period\n and ChemoBeforeEncounter.performed.toInterval ( ) starts 30 days or less on or before day of end of FaceToFaceOrTelehealthEncounter.period\n and ChemoAfterEncounter.performed.toInterval ( ) starts 30 days or less on or after day of end of FaceToFaceOrTelehealthEncounter.period\n and not ( ChemoAfterEncounter.performed.toInterval ( ) same day as ChemoBeforeEncounter.performed.toInterval ( ) )\n and FaceToFaceOrTelehealthEncounter.period during day of "Measurement Period"\n and FaceToFaceOrTelehealthEncounter.status = 'finished'\n return FaceToFaceOrTelehealthEncounter\n\ndefine "Numerator 1":\n "Face to Face or Telehealth Encounter with Ongoing Chemotherapy" FaceToFaceOrTelehealthEncounterWithChemo\n with "Standard Pain Assessment with Result" PainAssessed\n such that PainAssessed.effective.toInterval ( ) during day of FaceToFaceOrTelehealthEncounterWithChemo.period\n\ndefine "Radiation Treatment Management During Measurement Period with Cancer Diagnosis":\n ( [Encounter: "Radiation Treatment Management"] ) RadiationTreatmentManagement\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // with ( [ConditionProblemsHealthConcerns: "Cancer"]\n // union [ConditionEncounterDiagnosis: "Cancer"] ) CancerDx\n with [Condition: "Cancer"] CancerDx\n such that CancerDx.prevalenceInterval ( ) overlaps day of RadiationTreatmentManagement.period\n where RadiationTreatmentManagement.period during day of "Measurement Period"\n and RadiationTreatmentManagement.status = 'finished'\n\ndefine "Numerator 2":\n "Radiation Treatment Management During Measurement Period with Cancer Diagnosis" RadiationManagementEncounter\n with "Standard Pain Assessment with Result" PainAssessed\n such that case\n when exists ( ( RadiationManagementEncounter.type ) RadiationManagement\n where RadiationManagement ~ "Radiation treatment management, 5 treatments"\n ) then PainAssessed.effective.toInterval ( ) 6 days or less on or before day of start of RadiationManagementEncounter.period \n else PainAssessed.effective.toInterval ( ) during day of RadiationManagementEncounter.period end\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 "Standard Pain Assessment with Result":\n [ObservationScreeningAssessment: "Standardized Pain Assessment Tool"] AssessedPain\n where AssessedPain.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/CMS157FHIRPainIntensityQuantified",
"version" : "1.1.000",
"name" : "CMS157FHIRPainIntensityQuantified",
"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-CMS157FHIRPainIntensityQuantified.cql"
}
]
}