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" : "CMS349FHIRHIVScreening",
"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 CMS349FHIRHIVScreening 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 "LOINC": 'http://loinc.org'\n\nvalueset "HIV": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'\nvalueset "Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "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'\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-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\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'\n\ncode "HIV 1 and 2 tests - Meaningful Use set": '75622-1' from "LOINC" display 'HIV 1 and 2 tests - Meaningful Use set'\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 "Initial Population":\n AgeInYearsAt(date from start of "Measurement Period") in Interval[15, 65]\n and exists "Qualifying Encounters"\n\ndefine "Denominator":\n "Initial Population"\n\ndefine "Numerator":\n ( "Has HIV Test Performed" )\n\ndefine "Denominator Exclusions":\n // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n // Original:\n // exists ( ( [ConditionProblemsHealthConcerns: "HIV"]\n // union [ConditionEncounterDiagnosis: "HIV"] ) HIVDiagnosis\n exists ( ( [FHIR.Condition: "HIV"] ) HIVDiagnosis\n where HIVDiagnosis.prevalenceInterval ( ) starts before day of start of "Measurement Period"\n and HIVDiagnosis.isVerified ( )\n )\n\ndefine "Denominator Exceptions":\n "Patient Expired"\n\ndefine "Qualifying Encounters":\n ( ["Encounter": "Preventive Care Services, Initial Office Visit, 0 to 17"]\n union ["Encounter": "Preventive Care Services-Initial Office Visit, 18 and Up"]\n union ["Encounter": "Preventive Care, Established Office Visit, 0 to 17"]\n union ["Encounter": "Preventive Care Services - Established Office Visit, 18 and Up"]\n union ["Encounter": "Office Visit"] ) Encounter\n where Encounter.period during day of "Measurement Period"\n and Encounter.status = 'finished'\n\ndefine "Patient Expired":\n Patient.deceased on or before day of end of "Measurement Period"\n\ndefine "Has HIV Test Performed":\n exists ( ["LaboratoryResultObservation": "Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)"]\n union ["LaboratoryResultObservation": "HIV 1 and 2 tests - Meaningful Use set"] ) HIVTest\n where HIVTest.value is not null\n and AgeInYearsAt(date from start of HIVTest.effective.toInterval()) in Interval[15, 65]\n and HIVTest.effective.toInterval ( ) starts before day of end of "Measurement Period"\n and ( HIVTest.status = 'final'\n or HIVTest.status = 'amended'\n or HIVTest.status = 'corrected'\n )\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\n/*\n@description: Returns true if the given condition either has no verification status or has a verification status of confirmed, unconfirmed, provisional, or differential\n*/\n\n\ndefine fluent function isVerified(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):\n condition.verificationStatus is not null implies ( condition.verificationStatus ~ Status."confirmed"\n or condition.verificationStatus ~ Status."unconfirmed"\n or condition.verificationStatus ~ Status."provisional"\n or condition.verificationStatus ~ Status."differential"\n )</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/CMS349FHIRHIVScreening",
"version" : "1.1.000",
"name" : "CMS349FHIRHIVScreening",
"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-CMS349FHIRHIVScreening.cql"
}
]
}