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

Library: SupplementalDataElements

Official URL: https://madie.cms.gov/Library/SupplementalDataElements Version: 6.1.000
Active as of 2025-10-02 Responsible: ICF Computable Name: SupplementalDataElements

This is the QI-Core 6.0.0-derived version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex

Metadata
Title SupplementalDataElements
Version 6.1.000
Topic FHIR
Topic CQL
Steward (Publisher) ICF
Description

This is the QI-Core 6.0.0-derived version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex

Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Dependency Description: Model USQualityCore
Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Dependency Description: Library USCommon
Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot
Dependency Description: Code System SNOMEDCT
Resource: SNOMED CT (all versions)
Canonical URL: http://snomed.info/sct
Dependency Description: Value Set Ethnicity
Resource: Ethnicity
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837
Dependency Description: Value Set Federal Administrative Sex
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121
Dependency Description: Value Set Payer Type
Resource: Payer Type
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Dependency Description: Value Set Race
Resource: Race
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836
Data Requirement Type: Coverage
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage
Code Filter(s):
Path: type
ValueSet: Payer Type
Parameters
Name Use Card. Type Documentation
Patient Out 0..1 Resource
SDE Ethnicity Out 0..1 Resource
SDE Payer Out 0..* Resource
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Library Content
CQL Content
/*
@description: Supplemental data elements for use in digital quality measure specifications in CMS programs

NOTE: This library is not published in this IG, it is included here for convenience. The source of truth for
this library will be the MADiE environment once it fully supports use of QICore STU6-derived.
*/
library SupplementalDataElements 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 USCommon

codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Federal Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121'
valueset "Payer Type": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'

code "Male (finding)": '248153007' from "SNOMEDCT" display 'Male (finding)'
code "Female (finding)": '248152002' from "SNOMEDCT" display 'Female (finding)'

context Patient

define "SDE Ethnicity":
  (Patient.ethnicity()) E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }

define "SDE Payer":
  [USQualityCore.Coverage: type in "Payer Type"] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }

define "SDE Race":
  (Patient.race()) R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }

define "SDE Sex":
  case
    when Patient.sex() = '248153007' then "Male (finding)"
    when Patient.sex() = '248152002' then "Female (finding)"
    else null
  end
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