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="PalliativeCare"/>
<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">PalliativeCare</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">2.1.000</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 receiving palliative 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 PalliativeCare version '2.1.000'
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'
valueset "Palliative Care Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090'
valueset "Palliative Care Intervention": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135'
valueset "Palliative Care Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167'
code "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)'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "Has Palliative Care in the Measurement Period":
// TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)
exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"]).isAssessmentPerformed()) PalliativeAssessment
where PalliativeAssessment.effective.toInterval() overlaps day of "Measurement Period"
)
// 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?
or exists ((([FHIR.Condition: "Palliative Care Diagnosis"]).verified()) PalliativeDiagnosis
where PalliativeDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.Encounter: "Palliative Care Encounter"]).isEncounterPerformed()) PalliativeEncounter
where PalliativeEncounter.period overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.Procedure: "Palliative Care Intervention"]).isInterventionPerformed()) PalliativeIntervention
where PalliativeIntervention.performed.toInterval() 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/PalliativeCare"/>
<version value="2.1.000"/>
<name value="PalliativeCare"/>
<title value="PalliativeCare"/>
<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="2025-08-20T19:43:35+00:00"/>
<publisher value="National Committee for Quality Assurance"/>
<description
value="This library contains a definition used to exclude patients receiving palliative 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-PalliativeCare.cql"/>
</content>
</Library>