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 |
<Library xmlns="http://hl7.org/fhir">
<id value="PCMaternal"/>
<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>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<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">PCMaternal</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">6.1.000</td>
</tr>
<tr>
<th scope="row" class="row-header">Identifier</th>
<td class="content-container">68560e060d70b65363c69eea</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">The Joint Commission</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>This library specifies common data elements used by PC01, PC02, PC07.</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 PCMaternal version '6.1.000'
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 CQMCommon version '5.1.000' called CQMCommon
codesystem "LOINC": 'http://loinc.org'
valueset "Delivery Procedures": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59'
valueset "ED Visit and OB Triage": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Estimated Gestational Age at Delivery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26'
valueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'
code "Date and time of obstetric delivery": '93857-1' from "LOINC" display 'Date and time of obstetric delivery'
code "Delivery date Estimated": '11778-8' from "LOINC" display 'Delivery date Estimated'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)
context Patient
define "Delivery Encounter With Age Range":
"Encounter With Age Range" EncounterWithAge
with ["Procedure": "Delivery Procedures"] DeliveryProcedure
such that DeliveryProcedure.status = 'completed'
and DeliveryProcedure.performed.toInterval ( ) starts during EncounterWithAge.hospitalizationWithEDOBTriageObservation ()
define "Encounter With Age Range":
CQMCommon."Inpatient Encounter" InpatientEncounter
where AgeInYearsAt(date from start of InpatientEncounter.period) in Interval[ 8, 65 )
define "Variable Calculated Gestational Age":
"Delivery Encounter With Age Range" DeliveryEncounter
let CGA: DeliveryEncounter.calculatedGestationalAge()
return {
EncounterID: DeliveryEncounter.id,
CalculatedCGA: CGA
}
define fluent function calculatedGestationalAge (TheEncounter Encounter ):
//Gestational Age = (280 -(Estimated Delivery Date minus Reference Date/Delivery Date))/7
( 280 - ( difference in days between TheEncounter.lastTimeOfDelivery () and TheEncounter.lastEstimatedDeliveryDate( )) ) div 7
define fluent function hospitalizationWithEDOBTriageObservation (TheEncounter Encounter ):
/*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*/
TheEncounter Visit
let ObsVisit: Last(["Encounter": "Observation Services"] LastObs
where LastObs.period ends 1 hour or less on or before start of Visit.period
and LastObs.status = 'finished'
sort by
end of period
),
VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),
EDOBTriageVisit: Last(["Encounter": "ED Visit and OB Triage"] LastEDOBTriage
where LastEDOBTriage.period ends 1 hour or less on or before VisitStart
and LastEDOBTriage.status = 'finished'
sort by
end of period
)
return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart),
end of Visit.period]
define fluent function lastEstimatedDeliveryDate (TheEncounter Encounter ):
/*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.*/
Last(["SimpleObservation": "Delivery date Estimated"] EstimatedDateOfDelivery
where EstimatedDateOfDelivery.value as FHIR.dateTime is not null
and EstimatedDateOfDelivery.status in { 'final', 'amended', 'corrected' }
and EstimatedDateOfDelivery.effective.earliest ( ) 42 weeks or less before or on TheEncounter.lastTimeOfDelivery ()
sort by effective.earliest ( )
).value as FHIR.dateTime
define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):
Last(["SimpleObservation": "Estimated Gestational Age at Delivery"] EstimatedGestationalAge
let EGATiming: EstimatedGestationalAge.effective.earliest() where
(EGATiming 24 hours or less before or on TheEncounter.lastTimeOfDelivery ()
and EstimatedGestationalAge.value is not null
and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }) or
(EGATiming same day as TheEncounter.lastTimeOfDelivery ()
and EGATiming during TheEncounter.hospitalizationWithEDOBTriageObservation()
and EstimatedGestationalAge.value is not null)
sort by effective.earliest ())
.value as Quantity
define fluent function lastTimeOfDelivery (TheEncounter Encounter ):
Last(["SimpleObservation": "Date and time of obstetric delivery"] TimeOfDelivery
where TimeOfDelivery.value as FHIR.dateTime is not null
and TimeOfDelivery.status in { 'final', 'amended', 'corrected' }
and TimeOfDelivery.effective.earliest () during TheEncounter.hospitalizationWithEDOBTriageObservation ()
and TimeOfDelivery.value as FHIR.dateTime during TheEncounter.hospitalizationWithEDOBTriageObservation()
sort by effective.earliest()
).value as FHIR.dateTime</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/PCMaternal"/>
<identifier>
<use value="official"/>
<system value="https://madie.cms.gov/login"/>
<value value="68560e060d70b65363c69eea"/>
</identifier>
<version value="6.1.000"/>
<name value="PCMaternal"/>
<title value="PCMaternal"/>
<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="2025-08-25T14:51:15+00:00"/>
<publisher value="The Joint Commission"/>
<description
value="This library specifies common data elements used by PC01, PC02, PC07."/>
<topic>
<text value="FHIR"/>
</topic>
<topic>
<text value="CQL"/>
</topic>
<content>
<contentType value="text/cql"/>
<data
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<url value="https://madie.cms.gov/Library-PCMaternal.cql"/>
</content>
</Library>