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
| Active as of 2025-08-20 |
<Library xmlns="http://hl7.org/fhir">
<id value="Hospice"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"/>
</meta>
<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">Title</th>
<td class="content-container">Hospice</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">7.1.000</td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container">FHIR
</td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container">CQL
</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">National Committee for Quality Assurance</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period.</p>
</div></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 Hospice version '7.1.000'
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 Status version '2.1.000' called Status
codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Hospice Care Ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584'
valueset "Hospice Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003'
valueset "Hospice Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165'
code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT" display 'Discharge to healthcare facility for hospice care (procedure)'
code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT" display 'Discharge to home for hospice care (procedure)'
code "Hospice care [Minimum Data Set]": '45755-6' from "LOINC" display 'Hospice care [Minimum Data Set]'
code "Yes (qualifier value)": '373066001' from "SNOMEDCT" display 'Yes (qualifier value)'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "Has Hospice Services":
exists ((([USQualityCore.Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter
where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
)
and InpatientEncounter.period ends during day of "Measurement Period"
)
or exists ((([USQualityCore.Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter
where HospiceEncounter.period overlaps day of "Measurement Period"
)
// TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)
or exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment
where HospiceAssessment.value ~ "Yes (qualifier value)"
and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder
where HospiceOrder.authoredOn during day of "Measurement Period"
)
or exists ((([USQualityCore.Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed
where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"
)
// TODO: Consider whether to keep this as the union of Problems and EncounterDiagnosis
or exists ((([FHIR.Condition: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis
where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)</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/Hospice"/>
<version value="7.1.000"/>
<name value="Hospice"/>
<title value="Hospice"/>
<status value="active"/>
<experimental value="false"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2025-08-20T21:26:46+00:00"/>
<publisher value="National Committee for Quality Assurance"/>
<description
value="This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period."/>
<topic>
<text value="FHIR"/>
</topic>
<topic>
<text value="CQL"/>
</topic>
<content>
<contentType value="text/cql"/>
<data
value="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"/>
<url value="https://madie.cms.gov/Library-Hospice.cql"/>
</content>
</Library>