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 |
{
"resourceType" : "Library",
"id" : "PalliativeCare",
"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"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\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\">PalliativeCare</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\">2.1.000</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\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\">National Committee for Quality Assurance</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 contains a definition used to exclude patients receiving palliative care for any part of the measurement period.</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 PalliativeCare version '2.1.000'\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\n\ninclude Status version '2.1.000' called Status\n\ncodesystem "LOINC": 'http://loinc.org'\n\nvalueset "Palliative Care Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090'\nvalueset "Palliative Care Intervention": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135'\nvalueset "Palliative Care Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167'\n\ncode "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)": '71007-9' from "LOINC" display 'Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)'\n\nparameter "Measurement Period" Interval<DateTime>\n\ncontext Patient\n\ndefine "Has Palliative Care in the Measurement Period":\n // TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)\n exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"]).isAssessmentPerformed()) PalliativeAssessment\n where PalliativeAssessment.effective.toInterval() overlaps day of "Measurement Period"\n )\n // TODO: Consider whether to keep this as the union of the problems and encounter diagnosis list? Anything enforced by the profiles that is expected but isn't stated here?\n or exists ((([FHIR.Condition: "Palliative Care Diagnosis"]).verified()) PalliativeDiagnosis\n where PalliativeDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"\n )\n or exists ((([USQualityCore.Encounter: "Palliative Care Encounter"]).isEncounterPerformed()) PalliativeEncounter\n where PalliativeEncounter.period overlaps day of "Measurement Period"\n )\n or exists ((([USQualityCore.Procedure: "Palliative Care Intervention"]).isInterventionPerformed()) PalliativeIntervention\n where PalliativeIntervention.performed.toInterval() overlaps day of "Measurement Period"\n )</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/PalliativeCare",
"version" : "2.1.000",
"name" : "PalliativeCare",
"title" : "PalliativeCare",
"status" : "active",
"experimental" : false,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2025-08-20T19:43:35+00:00",
"publisher" : "National Committee for Quality Assurance",
"description" : "This library contains a definition used to exclude patients receiving palliative care for any part of the measurement period.",
"topic" : [
{
"text" : "FHIR"
},
{
"text" : "CQL"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : "LyoKTk9URTogRm9yIHVzZSBieSBNYXJjaCAyMDI2IFVTIFJlYWxtIENvbm5lY3RhdGhvbiBwYXJ0aWNpcGFudHMgZm9yIGludGVybmFsIHVzZSBvbmx5LiBOb3QgZm9yIHVzZSBvciBkaXN0cmlidXRpb24gaW4gY29tbWVyY2lhbCBwcm9kdWN0cy4KKi8KbGlicmFyeSBQYWxsaWF0aXZlQ2FyZSB2ZXJzaW9uICcyLjEuMDAwJwoKdXNpbmcgVVNRdWFsaXR5Q29yZSB2ZXJzaW9uICcwLjEuMC1jaWJ1aWxkJwp1c2luZyBVU0NvcmUgdmVyc2lvbiAnNi4xLjAtZGVyaXZlZCcKdXNpbmcgRkhJUiB2ZXJzaW9uICc0LjAuMScKCmluY2x1ZGUgaGw3LmZoaXIudXYuY3FsLkZISVJIZWxwZXJzIHZlcnNpb24gJzQuMC4xJyBjYWxsZWQgRkhJUkhlbHBlcnMKaW5jbHVkZSBobDcuZmhpci51di5jcWwuRkhJUkNvbW1vbiB2ZXJzaW9uICcyLjAuMCcgY2FsbGVkIEZISVJDb21tb24KCmluY2x1ZGUgU3RhdHVzIHZlcnNpb24gJzIuMS4wMDAnIGNhbGxlZCBTdGF0dXMKCmNvZGVzeXN0ZW0gIkxPSU5DIjogJ2h0dHA6Ly9sb2luYy5vcmcnCgp2YWx1ZXNldCAiUGFsbGlhdGl2ZSBDYXJlIEVuY291bnRlciI6ICdodHRwOi8vY3RzLm5sbS5uaWguZ292L2ZoaXIvVmFsdWVTZXQvMi4xNi44NDAuMS4xMTM4ODMuMy40NjQuMTAwMy4xMDEuMTIuMTA5MCcKdmFsdWVzZXQgIlBhbGxpYXRpdmUgQ2FyZSBJbnRlcnZlbnRpb24iOiAnaHR0cDovL2N0cy5ubG0ubmloLmdvdi9maGlyL1ZhbHVlU2V0LzIuMTYuODQwLjEuMTEzODgzLjMuNDY0LjEwMDMuMTk4LjEyLjExMzUnCnZhbHVlc2V0ICJQYWxsaWF0aXZlIENhcmUgRGlhZ25vc2lzIjogJ2h0dHA6Ly9jdHMubmxtLm5paC5nb3YvZmhpci9WYWx1ZVNldC8yLjE2Ljg0MC4xLjExMzg4My4zLjQ2NC4xMDAzLjExNjcnCgpjb2RlICJGdW5jdGlvbmFsIEFzc2Vzc21lbnQgb2YgQ2hyb25pYyBJbGxuZXNzIFRoZXJhcHkgLSBQYWxsaWF0aXZlIENhcmUgUXVlc3Rpb25uYWlyZSAoRkFDSVQtUGFsKSI6ICc3MTAwNy05JyBmcm9tICJMT0lOQyIgZGlzcGxheSAnRnVuY3Rpb25hbCBBc3Nlc3NtZW50IG9mIENocm9uaWMgSWxsbmVzcyBUaGVyYXB5IC0gUGFsbGlhdGl2ZSBDYXJlIFF1ZXN0aW9ubmFpcmUgKEZBQ0lULVBhbCknCgpwYXJhbWV0ZXIgIk1lYXN1cmVtZW50IFBlcmlvZCIgSW50ZXJ2YWw8RGF0ZVRpbWU+Cgpjb250ZXh0IFBhdGllbnQKCmRlZmluZSAiSGFzIFBhbGxpYXRpdmUgQ2FyZSBpbiB0aGUgTWVhc3VyZW1lbnQgUGVyaW9kIjoKICAvLyBUT0RPOiBTaG91bGRuJ3QgbmVlZCB0byBzcGVjaWZ5IGEgY29kZSBwYXRoIGhlcmUgKHNlZSBodHRwczovL2ppcmEuaGw3Lm9yZy9icm93c2UvRkhJUi01Mzk0MSkKICBleGlzdHMgKCgoW1VTUXVhbGl0eUNvcmUuT2JzZXJ2YXRpb25TY3JlZW5pbmdBc3Nlc3NtZW50OiBjb2RlIH4gIkZ1bmN0aW9uYWwgQXNzZXNzbWVudCBvZiBDaHJvbmljIElsbG5lc3MgVGhlcmFweSAtIFBhbGxpYXRpdmUgQ2FyZSBRdWVzdGlvbm5haXJlIChGQUNJVC1QYWwpIl0pLmlzQXNzZXNzbWVudFBlcmZvcm1lZCgpKSBQYWxsaWF0aXZlQXNzZXNzbWVudAogICAgICB3aGVyZSBQYWxsaWF0aXZlQXNzZXNzbWVudC5lZmZlY3RpdmUudG9JbnRlcnZhbCgpIG92ZXJsYXBzIGRheSBvZiAiTWVhc3VyZW1lbnQgUGVyaW9kIgogICkKICAgIC8vIFRPRE86IENvbnNpZGVyIHdoZXRoZXIgdG8ga2VlcCB0aGlzIGFzIHRoZSB1bmlvbiBvZiB0aGUgcHJvYmxlbXMgYW5kIGVuY291bnRlciBkaWFnbm9zaXMgbGlzdD8gQW55dGhpbmcgZW5mb3JjZWQgYnkgdGhlIHByb2ZpbGVzIHRoYXQgaXMgZXhwZWN0ZWQgYnV0IGlzbid0IHN0YXRlZCBoZXJlPwogICAgb3IgZXhpc3RzICgoKFtGSElSLkNvbmRpdGlvbjogIlBhbGxpYXRpdmUgQ2FyZSBEaWFnbm9zaXMiXSkudmVyaWZpZWQoKSkgUGFsbGlhdGl2ZURpYWdub3NpcwogICAgICAgIHdoZXJlIFBhbGxpYXRpdmVEaWFnbm9zaXMucHJldmFsZW5jZUludGVydmFsKCkgb3ZlcmxhcHMgZGF5IG9mICJNZWFzdXJlbWVudCBQZXJpb2QiCiAgICApCiAgICBvciBleGlzdHMgKCgoW1VTUXVhbGl0eUNvcmUuRW5jb3VudGVyOiAiUGFsbGlhdGl2ZSBDYXJlIEVuY291bnRlciJdKS5pc0VuY291bnRlclBlcmZvcm1lZCgpKSBQYWxsaWF0aXZlRW5jb3VudGVyCiAgICAgICAgd2hlcmUgUGFsbGlhdGl2ZUVuY291bnRlci5wZXJpb2Qgb3ZlcmxhcHMgZGF5IG9mICJNZWFzdXJlbWVudCBQZXJpb2QiCiAgICApCiAgICBvciBleGlzdHMgKCgoW1VTUXVhbGl0eUNvcmUuUHJvY2VkdXJlOiAiUGFsbGlhdGl2ZSBDYXJlIEludGVydmVudGlvbiJdKS5pc0ludGVydmVudGlvblBlcmZvcm1lZCgpKSBQYWxsaWF0aXZlSW50ZXJ2ZW50aW9uCiAgICAgICAgd2hlcmUgUGFsbGlhdGl2ZUludGVydmVudGlvbi5wZXJmb3JtZWQudG9JbnRlcnZhbCgpIG92ZXJsYXBzIGRheSBvZiAiTWVhc3VyZW1lbnQgUGVyaW9kIgogICAgKQ==",
"url" : "https://madie.cms.gov/Library-PalliativeCare.cql"
}
]
}