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

: CMS74FHIRDentalCariesPrevention - JSON Representation

Draft as of 2026-09-19

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{
  "resourceType" : "Library",
  "id" : "CMS74FHIRDentalCariesPrevention",
  "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 CMS74FHIRDentalCariesPrevention 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 USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\ninclude SupplementalDataElements version '6.1.000' called SDE\ninclude Status version '2.1.000' called Status\ninclude Hospice version '7.1.000' called Hospice\n\n\nvalueset &quot;Clinical Oral Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003'\nvalueset &quot;Discharged to Health Care Facility for Hospice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'\nvalueset &quot;Discharged to Home for Hosice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Fluoride Varnish Application for Children&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1002'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine &quot;Initial Population&quot;:\n  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[1, 20]\n    and exists ( &quot;Qualifying Encounters&quot; )\n\ndefine &quot;Qualifying Encounters&quot;:\n  ( ( [Encounter: &quot;Clinical Oral Evaluation&quot;] ).isEncounterPerformed ( ) ) ValidEncounter\n    where ValidEncounter.period during day of &quot;Measurement Period&quot;\n\ndefine &quot;Denominator&quot;:\n  &quot;Initial Population&quot;\n\ndefine &quot;Denominator Exclusions&quot;:\n  Hospice.&quot;Has Hospice Services&quot;\n\ndefine &quot;Numerator&quot;:\n  Count((([Procedure: &quot;Fluoride Varnish Application for Children&quot;]).isProcedurePerformed()) FluorideApplication\n      where FluorideApplication.performed.toInterval() ends during day of &quot;Measurement Period&quot;\n      return distinct date from \n      end of FluorideApplication.performed.toInterval()\n  ) &gt;= 2\n\ndefine &quot;Stratification 1&quot;:\n  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[1, 5]\n\ndefine &quot;Stratification 2&quot;:\n  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[6, 12]\n\ndefine &quot;Stratification 3&quot;:\n  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[13, 20]\n\ndefine &quot;SDE Ethnicity&quot;:\n  SDE.&quot;SDE Ethnicity&quot;\n\ndefine &quot;SDE Payer&quot;:\n  SDE.&quot;SDE Payer&quot;\n\ndefine &quot;SDE Race&quot;:\n  SDE.&quot;SDE Race&quot;\n\ndefine &quot;SDE Sex&quot;:\n  SDE.&quot;SDE Sex&quot;</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/CMS74FHIRDentalCariesPrevention",
  "version" : "1.1.000",
  "name" : "CMS74FHIRDentalCariesPrevention",
  "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-CMS74FHIRDentalCariesPrevention.cql"
    }
  ]
}