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

## Home

Official URL: https://madie.cms.gov/ImplementationGuide/madie.cms.gov.dqms | Version: 2025.1.0
Draft as of 2026-03-25 | Computable Name: DraftDQMContentCMSDerived

### Introduction

This implementation guide is a collection of draft FHIR-based electronic Clinical Quality Measures (eCQM) that conform to the FHIR Quality Measure IG

> NOTE: The measures in this implementation guide are works in progress and should not be considered final specifications or recommendations for guidance. The examples will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community.

### Content

This implementation guides contains electronic Clinical Quality Measure (eCQM) specifications, published as FHIR Measure and Library resources.

For a complete listing of the Measures in this IG, refer to the Measures page.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
Draft dQM CMS Content Implementation Guide | madie.cms.gov.dqms#2025.1.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 | Automatically added as a dependency - all IGs depend on the HL7 Extension Pack
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
Quality Measure Implementation Guide | hl7.fhir.us.cqfmeasures#5.0.0 | R4 |
Using CQL With FHIR | hl7.fhir.uv.cql#2.0.0 | R4 |
Common CQL Artifacts for FHIR (US-Based) | hl7.fhir.us.cql#current | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (madie.cms.gov.dqms.r4) and R4B (madie.cms.gov.dqms.r4b) are available.

### Global Profiles

There are no Global profiles defined

### IP Statements

This publication includes IP covered under the following statements.

- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: AdvancedIllnessandFrailty, CMS108FHIRVTEProphylaxis... Show 8 more, CMS1206FHIRCTOQR, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS165FHIRControllingHighBP, CMS2FHIRPCSDepScreenAndFollowUp, Hospice and PalliativeCare
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AHAOverall, CMS108FHIRVTEProphylaxis... Show 7 more, CMS1206FHIRCTOQR, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - AllergyIntolerance Verification Status: CMS135FHIRACEIorARBorARNIforHF
  - Artifact Identifier Type Codes: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - Condition Clinical Status Codes: CMS108FHIRVTEProphylaxis, CMS122FHIRDiabetesAssessGT9Pct... Show 5 more, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - ConditionVerificationStatus: CMS108FHIRVTEProphylaxis, CMS122FHIRDiabetesAssessGT9Pct... Show 4 more, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF and CMS165FHIRControllingHighBP
  - Example Diagnosis Type Codes: CMS108FHIRVTEProphylaxis
  - Example Procedure Type Codes: CMS108FHIRVTEProphylaxis
  - LibraryType: AHAOverall, AdultOutpatientEncounters... Show 19 more, AdvancedIllnessandFrailty, AlaraCommonFunctions, CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP, CMS2FHIRPCSDepScreenAndFollowUp, CMS986FHIRMalnutritionScore, CQMCommon, Hospice, PalliativeCare, Status, SupplementalDataElements, TJCOverall, USQualityCoreCommon and VTE
  - MeasureDataUsage: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - MeasureImprovementNotation: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - Measure Population Type: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - Measure Scoring: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - MeasureType: CMS108FHIRVTEProphylaxis, CMS1206FHIRCTOQR... Show 6 more, CMS122FHIRDiabetesAssessGT9Pct, CMS125FHIRBreastCancerScreen, CMS130FHIRColorectalCancerScrn, CMS135FHIRACEIorARBorARNIforHF, CMS165FHIRControllingHighBP and CMS2FHIRPCSDepScreenAndFollowUp
  - Observation Category Codes: CMS125FHIRBreastCancerScreen and CMS130FHIRColorectalCancerScrn