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

: CMS50FHIRReceiptofSpecialistReport - XML Representation

Draft as of 2026-09-19

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<Library xmlns="http://hl7.org/fhir">
  <id value="CMS50FHIRReceiptofSpecialistReport"/>
  <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 CMS50FHIRReceiptofSpecialistReport 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 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;CPT&quot;: 'http://www.ama-assn.org/go/cpt'

valueset &quot;Behavioral/Neuropsych Assessment&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1023'
valueset &quot;Consultant Report&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.121.12.1006'
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;Ophthalmological Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'
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, 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 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, 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;Psych Visit Diagnostic Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset &quot;Referral&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1046'

code &quot;Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour&quot;: '96112' from &quot;CPT&quot; display 'Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour'
code &quot;Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)&quot;: '96156' from &quot;CPT&quot; display 'Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)'
code &quot;Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes&quot;: '96136' from &quot;CPT&quot; display 'Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes'
code &quot;Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes&quot;: '96138' from &quot;CPT&quot; display 'Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes'
code &quot;Psychotherapy for crisis; first 60 minutes&quot;: '90839' from &quot;CPT&quot; display 'Psychotherapy for crisis; first 60 minutes'

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;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;Has Encounter during Measurement Period&quot;
      or &quot;Has Intervention during Measurement Period&quot;
  )
    and &quot;First Referral during First 10 Months of Measurement Period&quot; is not null

define &quot;Has Encounter during Measurement Period&quot;:
  exists ( ( [&quot;Encounter&quot;: &quot;Office Visit&quot;]
      union [&quot;Encounter&quot;: &quot;Ophthalmological 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, 0 to 17&quot;]
      union [&quot;Encounter&quot;: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
      union [&quot;Encounter&quot;: &quot;Preventive Care, Established Office Visit, 0 to 17&quot;] ) ValidEncounter
      where ValidEncounter.status = 'finished'
        and ValidEncounter.period during day of &quot;Measurement Period&quot;
  )

define &quot;Has Intervention during Measurement Period&quot;:
  exists ( ( ( [&quot;Procedure&quot;: &quot;Behavioral/Neuropsych Assessment&quot;]
        union [&quot;Procedure&quot;: &quot;Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)&quot;]
        union [&quot;Procedure&quot;: &quot;Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes&quot;]
        union [&quot;Procedure&quot;: &quot;Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes&quot;]
        union [&quot;Procedure&quot;: &quot;Psychotherapy for crisis; first 60 minutes&quot;]
        union [&quot;Procedure&quot;: &quot;Psych Visit Diagnostic Evaluation&quot;]
        union [&quot;Procedure&quot;: &quot;Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour&quot;]
    ).isProcedurePerformed ( ) ) ValidIntervention
      where ValidIntervention.performed.toInterval ( ) during day of &quot;Measurement Period&quot;
  )

define &quot;First Referral during First 10 Months of Measurement Period&quot;:
  First([ServiceRequest: &quot;Referral&quot;] ReferralOrder
      where ReferralOrder.status in { 'active', 'completed' }
        and ReferralOrder.intent = 'order'
        and date from ReferralOrder.authoredOn during day of Interval[date from start of &quot;Measurement Period&quot;, Date(year from start of &quot;Measurement Period&quot;, 10, 31)]
      sort by date from authoredOn ascending
  )

define &quot;Numerator&quot;:
  &quot;Referring Clinician Receives Consultant Report to Close Referral Loop&quot;

define &quot;Referring Clinician Receives Consultant Report to Close Referral Loop&quot;:
  exists ( [Task: USQualityCoreCommon.&quot;Fulfill&quot;] ConsultantReportObtained
      with &quot;First Referral during First 10 Months of Measurement Period&quot; FirstReferral
        // TODO: discuss with vendors .focus vs .basedOn
        
        such that ( ConsultantReportObtained.focus.references ( FirstReferral )
            or ConsultantReportObtained.basedOn.references ( FirstReferral )
        )
          and ConsultantReportObtained.executionPeriod ends after FirstReferral.authoredOn
          and ConsultantReportObtained.executionPeriod ends during day of &quot;Measurement Period&quot;
          and ConsultantReportObtained.status = 'completed'
          and ConsultantReportObtained.reasonCode in &quot;Consultant Report&quot;
            /*
            TODO: discuss usage of Composition resource for &quot;Consultant Report&quot;
            NOTE: the following does not currently work due to &quot;Composition&quot; missing a profile in QICore
            and exists(
              ConsultantReportObtained.output.value OV 
                with ([Composition] ReportComposition where ReportComposition.type in &quot;Consultant Report&quot;) ConsultantReportComposition 
                  such that (OV as Reference).references(ConsultantReportComposition)
            )
            */
  
  )</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/CMS50FHIRReceiptofSpecialistReport"/>
  <version value="1.1.000"/>
  <name value="CMS50FHIRReceiptofSpecialistReport"/>
  <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 CMS50FHIRReceiptofSpecialistReport 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 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 "CPT": 'http://www.ama-assn.org/go/cpt'

valueset "Behavioral/Neuropsych Assessment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1023'
valueset "Consultant Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.121.12.1006'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Ophthalmological Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285'
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, 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 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, 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 "Psych Visit Diagnostic Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset "Referral": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1046'

code "Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour": '96112' from "CPT" display 'Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour'
code "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)": '96156' from "CPT" display 'Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)'
code "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes": '96136' from "CPT" display 'Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes'
code "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes": '96138' from "CPT" display 'Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes'
code "Psychotherapy for crisis; first 60 minutes": '90839' from "CPT" display 'Psychotherapy for crisis; first 60 minutes'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

define "Denominator":
  "Initial Population"

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":
  ( "Has Encounter during Measurement Period"
      or "Has Intervention during Measurement Period"
  )
    and "First Referral during First 10 Months of Measurement Period" is not null

define "Has Encounter during Measurement Period":
  exists ( ( ["Encounter": "Office Visit"]
      union ["Encounter": "Ophthalmological Services"]
      union ["Encounter": "Preventive Care Services Established Office Visit, 18 and Up"]
      union ["Encounter": "Preventive Care Services, Initial Office Visit, 0 to 17"]
      union ["Encounter": "Preventive Care Services Initial Office Visit, 18 and Up"]
      union ["Encounter": "Preventive Care, Established Office Visit, 0 to 17"] ) ValidEncounter
      where ValidEncounter.status = 'finished'
        and ValidEncounter.period during day of "Measurement Period"
  )

define "Has Intervention during Measurement Period":
  exists ( ( ( ["Procedure": "Behavioral/Neuropsych Assessment"]
        union ["Procedure": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"]
        union ["Procedure": "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes"]
        union ["Procedure": "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes"]
        union ["Procedure": "Psychotherapy for crisis; first 60 minutes"]
        union ["Procedure": "Psych Visit Diagnostic Evaluation"]
        union ["Procedure": "Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour"]
    ).isProcedurePerformed ( ) ) ValidIntervention
      where ValidIntervention.performed.toInterval ( ) during day of "Measurement Period"
  )

define "First Referral during First 10 Months of Measurement Period":
  First([ServiceRequest: "Referral"] ReferralOrder
      where ReferralOrder.status in { 'active', 'completed' }
        and ReferralOrder.intent = 'order'
        and date from ReferralOrder.authoredOn during day of Interval[date from start of "Measurement Period", Date(year from start of "Measurement Period", 10, 31)]
      sort by date from authoredOn ascending
  )

define "Numerator":
  "Referring Clinician Receives Consultant Report to Close Referral Loop"

define "Referring Clinician Receives Consultant Report to Close Referral Loop":
  exists ( [Task: USQualityCoreCommon."Fulfill"] ConsultantReportObtained
      with "First Referral during First 10 Months of Measurement Period" FirstReferral
        // TODO: discuss with vendors .focus vs .basedOn
        
        such that ( ConsultantReportObtained.focus.references ( FirstReferral )
            or ConsultantReportObtained.basedOn.references ( FirstReferral )
        )
          and ConsultantReportObtained.executionPeriod ends after FirstReferral.authoredOn
          and ConsultantReportObtained.executionPeriod ends during day of "Measurement Period"
          and ConsultantReportObtained.status = 'completed'
          and ConsultantReportObtained.reasonCode in "Consultant Report"
            /*
            TODO: discuss usage of Composition resource for "Consultant Report"
            NOTE: the following does not currently work due to "Composition" missing a profile in QICore
            and exists(
              ConsultantReportObtained.output.value OV 
                with ([Composition] ReportComposition where ReportComposition.type in "Consultant Report") ConsultantReportComposition 
                  such that (OV as Reference).references(ConsultantReportComposition)
            )
            */
  
  )"/>
    <url
         value="https://madie.cms.gov/Library-CMS50FHIRReceiptofSpecialistReport.cql"/>
  </content>
</Library>