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

: CMS951FHIRKidneyHealthEval - XML Representation

Draft as of 2026-09-19

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="CMS951FHIRKidneyHealthEval"/>
  <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 CMS951FHIRKidneyHealthEval 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 Hospice version '7.1.000' called Hospice
include PalliativeCare version '2.1.000' called PalliativeCare
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

valueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset &quot;Chronic Kidney Disease, Stage 5&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1002'
valueset &quot;Diabetes&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001'
valueset &quot;End Stage Renal Disease&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353'
valueset &quot;Estimated Glomerular Filtration Rate&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000'
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;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset &quot;Undetectable Lab Result Value&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.272'
valueset &quot;Urine Albumin&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.88'
valueset &quot;Urine Albumin Creatinine Ratio&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1007'
valueset &quot;Urine Creatinine&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.87'

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;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;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[18, 85]
    and &quot;Has Active Diabetes Overlaps Start Of Measurement Period&quot;
    and &quot;Has Outpatient Visit During Measurement Period&quot;

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

define &quot;Denominator Exclusions&quot;:
  &quot;Has CKD Stage 5 Or ESRD Diagnosis Overlaps Measurement Period&quot;
    or Hospice.&quot;Has Hospice Services&quot;
    or PalliativeCare.&quot;Has Palliative Care in the Measurement Period&quot;

define &quot;Numerator&quot;:
  &quot;Kidney Panel Performed During Measurement Period&quot;

define &quot;Has Active Diabetes Overlaps Start Of Measurement Period&quot;:
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( [&quot;ConditionProblemsHealthConcerns&quot;: &quot;Diabetes&quot;]
  //     union [&quot;ConditionEncounterDiagnosis&quot;: &quot;Diabetes&quot;] ) DiabetesDiagnosis
  exists ( [FHIR.Condition: &quot;Diabetes&quot;] ) DiabetesDiagnosis
    where DiabetesDiagnosis.prevalenceInterval ( ) overlaps before day of &quot;Measurement Period&quot;
      and ( DiabetesDiagnosis.verificationStatus is not null implies ( DiabetesDiagnosis.verificationStatus !~ Status.&quot;refuted&quot;
            and DiabetesDiagnosis.verificationStatus !~ Status.&quot;entered-in-error&quot;
        )
      )

define &quot;Has CKD Stage 5 Or ESRD Diagnosis Overlaps Measurement Period&quot;:
  // [E-13] base FHIR.Condition retrieves (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( ( [&quot;ConditionProblemsHealthConcerns&quot;: &quot;Chronic Kidney Disease, Stage 5&quot;]
  //       union [&quot;ConditionEncounterDiagnosis&quot;: &quot;Chronic Kidney Disease, Stage 5&quot;]
  //   )
  //     union ( [&quot;ConditionProblemsHealthConcerns&quot;: &quot;End Stage Renal Disease&quot;]
  //         union [&quot;ConditionEncounterDiagnosis&quot;: &quot;End Stage Renal Disease&quot;]
  //     ) ) CKDOrESRD
  exists ( ( [FHIR.Condition: &quot;Chronic Kidney Disease, Stage 5&quot;]
  )
    union ( [FHIR.Condition: &quot;End Stage Renal Disease&quot;]
    ) ) CKDOrESRD
    where CKDOrESRD.prevalenceInterval ( ) overlaps day of &quot;Measurement Period&quot;
      and ( CKDOrESRD.verificationStatus is not null implies ( CKDOrESRD.verificationStatus !~ Status.&quot;refuted&quot;
            and CKDOrESRD.verificationStatus !~ Status.&quot;entered-in-error&quot;
        )
      )

define &quot;Has Outpatient Visit During Measurement Period&quot;:
  exists ( ( [&quot;Encounter&quot;: &quot;Annual Wellness Visit&quot;]
      union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]
      union [&quot;Encounter&quot;: &quot;Office Visit&quot;]
      union [&quot;Encounter&quot;: &quot;Outpatient Consultation&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;Telephone Visits&quot;] ) ValidEncounter
      where ValidEncounter.period during day of &quot;Measurement Period&quot;
        and ValidEncounter.status = 'finished'
  )

define &quot;Kidney Panel Performed During Measurement Period&quot;:
  &quot;Has Estimated Glomerular Filtration Rate Performed During Measurement Period&quot;
    and ( &quot;Has Urine Albumin Creatinine Ratio Test Performed During Measurement Period&quot;
        or &quot;Has Urine Albumin Test And Urine Creatine Test Less Than Or Equal To Four Days Apart&quot;
    )

define &quot;Has Estimated Glomerular Filtration Rate Performed During Measurement Period&quot;:
  exists ( [&quot;LaboratoryResultObservation&quot;: &quot;Estimated Glomerular Filtration Rate&quot;] eGFRTest
      where eGFRTest.effective.toInterval ( ) during day of &quot;Measurement Period&quot;
        and eGFRTest.value is not null
        and eGFRTest.status in { 'final', 'amended', 'corrected' }
  )

define &quot;Has Urine Albumin Creatinine Ratio Test Performed During Measurement Period&quot;:
  exists ( [&quot;LaboratoryResultObservation&quot;: &quot;Urine Albumin Creatinine Ratio&quot;] uACRTest
      where uACRTest.effective.toInterval ( ) during day of &quot;Measurement Period&quot;
        and uACRTest.status in { 'final', 'amended', 'corrected' }
        and ( ( uACRTest.value is Quantity )
            or ( uACRTest.value as FHIR.CodeableConcept in &quot;Undetectable Lab Result Value&quot; )
        )
  )

define &quot;Has Urine Albumin Test And Urine Creatine Test Less Than Or Equal To Four Days Apart&quot;:
  exists ( from
      &quot;Urine Albumin Test Performed During The Measurement Period&quot; UrineAlbuminTest,
      &quot;Urine Creatinine Test Performed During The Measurement Period&quot; UrineCreatinineTest
      let UrineAlbuminDocumentedTime: UrineAlbuminTest.effective.toInterval ( ),
      UrineCreatinineDocumentedTime: UrineCreatinineTest.effective.toInterval ( )
      where UrineAlbuminDocumentedTime during Interval[start of UrineCreatinineDocumentedTime - 4 days, end of UrineCreatinineDocumentedTime + 4 days]
  )

define &quot;Urine Albumin Test Performed During The Measurement Period&quot;:
  [&quot;LaboratoryResultObservation&quot;: &quot;Urine Albumin&quot;] AlbuminTest
    where AlbuminTest.effective.toInterval ( ) during day of &quot;Measurement Period&quot;
      and AlbuminTest.value is not null
      and AlbuminTest.status in { 'final', 'amended', 'corrected' }

define &quot;Urine Creatinine Test Performed During The Measurement Period&quot;:
  [&quot;LaboratoryResultObservation&quot;: &quot;Urine Creatinine&quot;] CreatinineTest
    where CreatinineTest.effective.toInterval ( ) during day of &quot;Measurement Period&quot;
      and CreatinineTest.value is not null
      and CreatinineTest.status in { 'final', 'amended', 'corrected' }</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/CMS951FHIRKidneyHealthEval"/>
  <version value="1.1.000"/>
  <name value="CMS951FHIRKidneyHealthEval"/>
  <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 CMS951FHIRKidneyHealthEval 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 Hospice version '7.1.000' called Hospice
include PalliativeCare version '2.1.000' called PalliativeCare
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

valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset "Chronic Kidney Disease, Stage 5": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1002'
valueset "Diabetes": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001'
valueset "End Stage Renal Disease": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353'
valueset "Estimated Glomerular Filtration Rate": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
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, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'
valueset "Undetectable Lab Result Value": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.272'
valueset "Urine Albumin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.88'
valueset "Urine Albumin Creatinine Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1007'
valueset "Urine Creatinine": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1178.87'

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

context Patient

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":
  AgeInYearsAt(date from start of "Measurement Period") in Interval[18, 85]
    and "Has Active Diabetes Overlaps Start Of Measurement Period"
    and "Has Outpatient Visit During Measurement Period"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  "Has CKD Stage 5 Or ESRD Diagnosis Overlaps Measurement Period"
    or Hospice."Has Hospice Services"
    or PalliativeCare."Has Palliative Care in the Measurement Period"

define "Numerator":
  "Kidney Panel Performed During Measurement Period"

define "Has Active Diabetes Overlaps Start Of Measurement Period":
  // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( ["ConditionProblemsHealthConcerns": "Diabetes"]
  //     union ["ConditionEncounterDiagnosis": "Diabetes"] ) DiabetesDiagnosis
  exists ( [FHIR.Condition: "Diabetes"] ) DiabetesDiagnosis
    where DiabetesDiagnosis.prevalenceInterval ( ) overlaps before day of "Measurement Period"
      and ( DiabetesDiagnosis.verificationStatus is not null implies ( DiabetesDiagnosis.verificationStatus !~ Status."refuted"
            and DiabetesDiagnosis.verificationStatus !~ Status."entered-in-error"
        )
      )

define "Has CKD Stage 5 Or ESRD Diagnosis Overlaps Measurement Period":
  // [E-13] base FHIR.Condition retrieves (defect-tracking/engine-issues.md E-13)
  // Original:
  //   exists ( ( ["ConditionProblemsHealthConcerns": "Chronic Kidney Disease, Stage 5"]
  //       union ["ConditionEncounterDiagnosis": "Chronic Kidney Disease, Stage 5"]
  //   )
  //     union ( ["ConditionProblemsHealthConcerns": "End Stage Renal Disease"]
  //         union ["ConditionEncounterDiagnosis": "End Stage Renal Disease"]
  //     ) ) CKDOrESRD
  exists ( ( [FHIR.Condition: "Chronic Kidney Disease, Stage 5"]
  )
    union ( [FHIR.Condition: "End Stage Renal Disease"]
    ) ) CKDOrESRD
    where CKDOrESRD.prevalenceInterval ( ) overlaps day of "Measurement Period"
      and ( CKDOrESRD.verificationStatus is not null implies ( CKDOrESRD.verificationStatus !~ Status."refuted"
            and CKDOrESRD.verificationStatus !~ Status."entered-in-error"
        )
      )

define "Has Outpatient Visit During Measurement Period":
  exists ( ( ["Encounter": "Annual Wellness Visit"]
      union ["Encounter": "Home Healthcare Services"]
      union ["Encounter": "Office Visit"]
      union ["Encounter": "Outpatient Consultation"]
      union ["Encounter": "Preventive Care Services Established Office Visit, 18 and Up"]
      union ["Encounter": "Preventive Care Services Initial Office Visit, 18 and Up"]
      union ["Encounter": "Telephone Visits"] ) ValidEncounter
      where ValidEncounter.period during day of "Measurement Period"
        and ValidEncounter.status = 'finished'
  )

define "Kidney Panel Performed During Measurement Period":
  "Has Estimated Glomerular Filtration Rate Performed During Measurement Period"
    and ( "Has Urine Albumin Creatinine Ratio Test Performed During Measurement Period"
        or "Has Urine Albumin Test And Urine Creatine Test Less Than Or Equal To Four Days Apart"
    )

define "Has Estimated Glomerular Filtration Rate Performed During Measurement Period":
  exists ( ["LaboratoryResultObservation": "Estimated Glomerular Filtration Rate"] eGFRTest
      where eGFRTest.effective.toInterval ( ) during day of "Measurement Period"
        and eGFRTest.value is not null
        and eGFRTest.status in { 'final', 'amended', 'corrected' }
  )

define "Has Urine Albumin Creatinine Ratio Test Performed During Measurement Period":
  exists ( ["LaboratoryResultObservation": "Urine Albumin Creatinine Ratio"] uACRTest
      where uACRTest.effective.toInterval ( ) during day of "Measurement Period"
        and uACRTest.status in { 'final', 'amended', 'corrected' }
        and ( ( uACRTest.value is Quantity )
            or ( uACRTest.value as FHIR.CodeableConcept in "Undetectable Lab Result Value" )
        )
  )

define "Has Urine Albumin Test And Urine Creatine Test Less Than Or Equal To Four Days Apart":
  exists ( from
      "Urine Albumin Test Performed During The Measurement Period" UrineAlbuminTest,
      "Urine Creatinine Test Performed During The Measurement Period" UrineCreatinineTest
      let UrineAlbuminDocumentedTime: UrineAlbuminTest.effective.toInterval ( ),
      UrineCreatinineDocumentedTime: UrineCreatinineTest.effective.toInterval ( )
      where UrineAlbuminDocumentedTime during Interval[start of UrineCreatinineDocumentedTime - 4 days, end of UrineCreatinineDocumentedTime + 4 days]
  )

define "Urine Albumin Test Performed During The Measurement Period":
  ["LaboratoryResultObservation": "Urine Albumin"] AlbuminTest
    where AlbuminTest.effective.toInterval ( ) during day of "Measurement Period"
      and AlbuminTest.value is not null
      and AlbuminTest.status in { 'final', 'amended', 'corrected' }

define "Urine Creatinine Test Performed During The Measurement Period":
  ["LaboratoryResultObservation": "Urine Creatinine"] CreatinineTest
    where CreatinineTest.effective.toInterval ( ) during day of "Measurement Period"
      and CreatinineTest.value is not null
      and CreatinineTest.status in { 'final', 'amended', 'corrected' }"/>
    <url
         value="https://madie.cms.gov/Library-CMS951FHIRKidneyHealthEval.cql"/>
  </content>
</Library>