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 - XML Representation

Draft as of 2026-09-19

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="CMS74FHIRDentalCariesPrevention"/>
  <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 CMS74FHIRDentalCariesPrevention 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
include Hospice version '7.1.000' called Hospice


valueset &quot;Clinical Oral Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003'
valueset &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'
valueset &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'
valueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset &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'

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;Initial Population&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[1, 20]
    and exists ( &quot;Qualifying Encounters&quot; )

define &quot;Qualifying Encounters&quot;:
  ( ( [Encounter: &quot;Clinical Oral Evaluation&quot;] ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period during day of &quot;Measurement Period&quot;

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

define &quot;Denominator Exclusions&quot;:
  Hospice.&quot;Has Hospice Services&quot;

define &quot;Numerator&quot;:
  Count((([Procedure: &quot;Fluoride Varnish Application for Children&quot;]).isProcedurePerformed()) FluorideApplication
      where FluorideApplication.performed.toInterval() ends during day of &quot;Measurement Period&quot;
      return distinct date from 
      end of FluorideApplication.performed.toInterval()
  ) &gt;= 2

define &quot;Stratification 1&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[1, 5]

define &quot;Stratification 2&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[6, 12]

define &quot;Stratification 3&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[13, 20]

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/CMS74FHIRDentalCariesPrevention"/>
  <version value="1.1.000"/>
  <name value="CMS74FHIRDentalCariesPrevention"/>
  <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="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"/>
    <url
         value="https://madie.cms.gov/Library-CMS74FHIRDentalCariesPrevention.cql"/>
  </content>
</Library>