CMS314FHIRHIVViralSuppression - XML Representation - Draft dQM CMS Content Implementation Guide v2025.1.0

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
: CMS314FHIRHIVViralSuppression - XML Representation

Draft as of 2026-09-19
Raw xml | Download

<Library xmlns="http://hl7.org/fhir">
  <id value="CMS314FHIRHIVViralSuppression"/>
  <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 CMS314FHIRHIVViralSuppression 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 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 &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'

valueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset &quot;Face-to-Face Interaction&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.375'
valueset &quot;HIV&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'
valueset &quot;HIV Viral Load Tests&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.377'
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;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 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 Other&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1150'
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'

code &quot;Below threshold level (qualifier value)&quot;: '260988000' from &quot;SNOMEDCT&quot; display 'Below threshold level (qualifier value)'
code &quot;Not detected (qualifier value)&quot;: '260415000' from &quot;SNOMEDCT&quot; display 'Not detected (qualifier value)'

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

define &quot;Has Active HIV Diagnosis Before or in First 90 Days of Measurement Period&quot;:
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   ( [&quot;ConditionProblemsHealthConcerns&quot;: &quot;HIV&quot;]
  //     union [&quot;ConditionEncounterDiagnosis&quot;: &quot;HIV&quot;] )
  exists ( [FHIR.Condition: &quot;HIV&quot;] ) HIVDx
    where HIVDx.prevalenceInterval ( ) starts before day of ( start of &quot;Measurement Period&quot; + 90 days )
      and HIVDx.isVerified ( )

define &quot;Initial Population&quot;:
  &quot;Has Active HIV Diagnosis Before or in First 90 Days of Measurement Period&quot;
    and &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;

define &quot;Most Recent Viral Load Test During Measurement Period&quot;:
  Last([&quot;LaboratoryResultObservation&quot;: &quot;HIV Viral Load Tests&quot;] ViralLoad
      where ViralLoad.status in { 'final', 'amended', 'corrected' }
        and ViralLoad.effective.latest() during day of &quot;Measurement Period&quot;
      sort by effective.earliest()
  )

define &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;:
/*Note: applied workaround using value set 'Preventive Care Services Other', as a DRC cannot be used directly from an encounter retrieve; additional info can be found in CQLIT-368*/
  
  exists ( [&quot;Encounter&quot;: &quot;Office Visit&quot;]
    union [&quot;Encounter&quot;: &quot;Outpatient Consultation&quot;]
    union [&quot;Encounter&quot;: &quot;Annual Wellness Visit&quot;]
    union [&quot;Encounter&quot;: &quot;Face-to-Face Interaction&quot;]
    union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]
    union [&quot;Encounter&quot;: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
    union [&quot;Encounter&quot;: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
    union [&quot;Encounter&quot;: &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;]
    union [&quot;Encounter&quot;: &quot;Preventive Care, Established Office Visit, 0 to 17&quot;]
    union [&quot;Encounter&quot;: &quot;Telephone Visits&quot;]
    union [&quot;Encounter&quot;: &quot;Preventive Care Services Other&quot;] ) QualifyingEncounter
    where QualifyingEncounter.period during day of Interval[start of &quot;Measurement Period&quot;, start of &quot;Measurement Period&quot; + 240 days]
      and QualifyingEncounter.status = 'finished'

define &quot;Numerator&quot;:
  &quot;Most Recent Viral Load Test During Measurement Period&quot;.value &lt; 200 '{copies}/mL'
    or &quot;Most Recent Viral Load Test During Measurement Period&quot;.value ~ &quot;Below threshold level (qualifier value)&quot;
    or &quot;Most Recent Viral Load Test During Measurement Period&quot;.value ~ &quot;Not detected (qualifier value)&quot;

define fluent function isVerified(condition Choice&lt;ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis&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;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;</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/CMS314FHIRHIVViralSuppression"/>
  <version value="1.1.000"/>
  <name value="CMS314FHIRHIVViralSuppression"/>
  <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
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    <url
         value="https://madie.cms.gov/Library-CMS314FHIRHIVViralSuppression.cql"/>
  </content>
</Library>