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 2025-08-25 |
{
"resourceType" : "Library",
"id" : "PCMaternal",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\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<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">PCMaternal</td>\n\n\n</tr>\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\">6.1.000</td>\n\n\n</tr>\n\n\n\n\n\n\n\n \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">68560e060d70b65363c69eea</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<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">FHIR\n</td>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">CQL\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">The Joint Commission</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>This library specifies common data elements used by PC01, PC02, PC07.</p>\n</div></td>\n\n\n</tr>\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 PCMaternal version '6.1.000'\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 CQMCommon version '5.1.000' called CQMCommon\n\ncodesystem "LOINC": 'http://loinc.org' \n\nvalueset "Delivery Procedures": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59' \nvalueset "ED Visit and OB Triage": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369' \nvalueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307' \nvalueset "Estimated Gestational Age at Delivery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26' \nvalueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143' \n\ncode "Date and time of obstetric delivery": '93857-1' from "LOINC" display 'Date and time of obstetric delivery'\ncode "Delivery date Estimated": '11778-8' from "LOINC" display 'Delivery date Estimated'\n\nparameter "Measurement Period" Interval<DateTime>\n default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine "Delivery Encounter With Age Range":\n "Encounter With Age Range" EncounterWithAge\n with ["Procedure": "Delivery Procedures"] DeliveryProcedure\n such that DeliveryProcedure.status = 'completed'\n and DeliveryProcedure.performed.toInterval ( ) starts during EncounterWithAge.hospitalizationWithEDOBTriageObservation ()\n\ndefine "Encounter With Age Range":\n CQMCommon."Inpatient Encounter" InpatientEncounter\n where AgeInYearsAt(date from start of InpatientEncounter.period) in Interval[ 8, 65 )\n \n\ndefine "Variable Calculated Gestational Age":\n "Delivery Encounter With Age Range" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge()\n return {\n EncounterID: DeliveryEncounter.id,\n CalculatedCGA: CGA\n }\n\ndefine fluent function calculatedGestationalAge (TheEncounter Encounter ):\n //Gestational Age = (280 -(Estimated Delivery Date minus Reference Date/Delivery Date))/7\n ( 280 - ( difference in days between TheEncounter.lastTimeOfDelivery () and TheEncounter.lastEstimatedDeliveryDate( )) ) div 7\n\n \n \ndefine fluent function hospitalizationWithEDOBTriageObservation (TheEncounter Encounter ):\n /*hospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter*/\n TheEncounter Visit\n let ObsVisit: Last(["Encounter": "Observation Services"] LastObs\n where LastObs.period ends 1 hour or less on or before start of Visit.period\n and LastObs.status = 'finished'\n sort by \n end of period\n ),\n VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n EDOBTriageVisit: Last(["Encounter": "ED Visit and OB Triage"] LastEDOBTriage\n where LastEDOBTriage.period ends 1 hour or less on or before VisitStart\n and LastEDOBTriage.status = 'finished'\n sort by \n end of period\n )\n return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart), \n end of Visit.period]\n \n\ndefine fluent function lastEstimatedDeliveryDate (TheEncounter Encounter ):\n /*This function identifies the last time the EDD was assessed 42 weeks or less prior to or on delivery and stores the result of that assessment.*/\n Last(["SimpleObservation": "Delivery date Estimated"] EstimatedDateOfDelivery\n where EstimatedDateOfDelivery.value as FHIR.dateTime is not null\n and EstimatedDateOfDelivery.status in { 'final', 'amended', 'corrected' }\n and EstimatedDateOfDelivery.effective.earliest ( ) 42 weeks or less before or on TheEncounter.lastTimeOfDelivery ()\n sort by effective.earliest ( )\n ).value as FHIR.dateTime\n\n\n define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):\n Last(["SimpleObservation": "Estimated Gestational Age at Delivery"] EstimatedGestationalAge\n let EGATiming: EstimatedGestationalAge.effective.earliest() where \n (EGATiming 24 hours or less before or on TheEncounter.lastTimeOfDelivery () \n and EstimatedGestationalAge.value is not null \n and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }) or \n (EGATiming same day as TheEncounter.lastTimeOfDelivery () \n and EGATiming during TheEncounter.hospitalizationWithEDOBTriageObservation() \n and EstimatedGestationalAge.value is not null)\n sort by effective.earliest ())\n .value as Quantity\n\ndefine fluent function lastTimeOfDelivery (TheEncounter Encounter ):\n Last(["SimpleObservation": "Date and time of obstetric delivery"] TimeOfDelivery\n where TimeOfDelivery.value as FHIR.dateTime is not null\n and TimeOfDelivery.status in { 'final', 'amended', 'corrected' }\n and TimeOfDelivery.effective.earliest () during TheEncounter.hospitalizationWithEDOBTriageObservation ()\n and TimeOfDelivery.value as FHIR.dateTime during TheEncounter.hospitalizationWithEDOBTriageObservation()\n sort by effective.earliest()\n ).value as FHIR.dateTime</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/PCMaternal",
"identifier" : [
{
"use" : "official",
"system" : "https://madie.cms.gov/login",
"value" : "68560e060d70b65363c69eea"
}
],
"version" : "6.1.000",
"name" : "PCMaternal",
"title" : "PCMaternal",
"status" : "active",
"experimental" : false,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2025-08-25T14:51:15+00:00",
"publisher" : "The Joint Commission",
"description" : "This library specifies common data elements used by PC01, PC02, PC07.",
"topic" : [
{
"text" : "FHIR"
},
{
"text" : "CQL"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : 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"url" : "https://madie.cms.gov/Library-PCMaternal.cql"
}
]
}