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: Library

Official URL: https://madie.cms.gov/Measure/CMS130FHIRColorectalCancerScrn#effective-data-requirements | Version: 1.1.000
Active | Responsible: National Committee for Quality Assurance | Computable Name: EffectiveDataRequirements

Metadata
Type | module-definition from http://terminology.hl7.org/CodeSystem/library-type
Dependency | Description: USQualityCore model information 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: USCore model information Resource: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived Canonical URL: `http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived`
Dependency | Description: FHIR model information Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 Canonical URL: `http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1`
Dependency | Description: Library SDE Resource: SupplementalDataElementsversion: null6.1.000) Canonical URL: `https://madie.cms.gov/Library/SupplementalDataElements|6.1.000`
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 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: 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 Status Resource: Statusversion: null2.1.000) Canonical URL: `https://madie.cms.gov/Library/Status|2.1.000`
Dependency | Description: Library AdultOutpatientEncounters Resource: AdultOutpatientEncountersversion: null5.1.000) Canonical URL: `https://madie.cms.gov/Library/AdultOutpatientEncounters|5.1.000`
Dependency | Description: Library Hospice Resource: Hospiceversion: null7.1.000) Canonical URL: `https://madie.cms.gov/Library/Hospice|7.1.000`
Dependency | Description: Library AIFrailLTCF Resource: AdvancedIllnessandFrailtyversion: null2.1.000) Canonical URL: `https://madie.cms.gov/Library/AdvancedIllnessandFrailty|2.1.000`
Dependency | Description: Library CMD Resource: http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0-ballot Canonical URL: `http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0-ballot`
Dependency | Description: Library PalliativeCare Resource: PalliativeCareversion: null2.1.000) Canonical URL: `https://madie.cms.gov/Library/PalliativeCare|2.1.000`
Dependency | Description: Code system SNOMEDCT Resource: SNOMED CT (all versions) Canonical URL: `http://snomed.info/sct`
Dependency | Description: Code system ObservationCategoryCodes Resource: Observation Category Codes Canonical URL: `http://terminology.hl7.org/CodeSystem/observation-category`
Dependency | Description: Code system LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: `http://loinc.org`
Dependency | Description: Code system ConditionVerificationStatusCodes Resource: ConditionVerificationStatus Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Dependency | Description: Code system ConditionClinicalStatusCodes Resource: Condition Clinical Status Codes Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Dependency | Description: Value set Fecal Occult Blood Test (FOBT) Resource: Fecal Occult Blood Test (FOBT) Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011`
Dependency | Description: Value set sDNA FIT Test Resource: sDNA FIT Test Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039`
Dependency | Description: Value set Flexible Sigmoidoscopy Resource: Flexible Sigmoidoscopy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010`
Dependency | Description: Value set CT Colonography Resource: CT Colonography Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038`
Dependency | Description: Value set Colonoscopy Resource: Colonoscopy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020`
Dependency | Description: Value set Office Visit Resource: Office Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001`
Dependency | Description: Value set Annual Wellness Visit Resource: Annual Wellness Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240`
Dependency | Description: Value set Preventive Care Services Established Office Visit, 18 and Up Resource: Preventive Care Services Established Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025`
Dependency | Description: Value set Preventive Care Services Initial Office Visit, 18 and Up Resource: Preventive Care Services Initial Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023`
Dependency | Description: Value set Home Healthcare Services Resource: Home Healthcare Services Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016`
Dependency | Description: Value set Virtual Encounter Resource: Virtual Encounter Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089`
Dependency | Description: Value set Telephone Visits Resource: Telephone Visits Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080`
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 Encounter Inpatient Resource: Encounter Inpatient Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307`
Dependency | Description: Value set Hospice Encounter Resource: Hospice Encounter Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003`
Dependency | Description: Value set Hospice Care Ambulatory Resource: Hospice Care Ambulatory Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584`
Dependency | Description: Value set Hospice Diagnosis Resource: Hospice Diagnosis Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165`
Dependency | Description: Value set Malignant Neoplasm of Colon Resource: Malignant Neoplasm of Colon Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001`
Dependency | Description: Value set Total Colectomy Resource: Total Colectomy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019`
Dependency | Description: Value set Frailty Device Resource: Frailty Device Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300`
Dependency | Description: Value set Frailty Diagnosis Resource: Frailty Diagnosis Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074`
Dependency | Description: Value set Frailty Encounter Resource: Frailty Encounter Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088`
Dependency | Description: Value set Frailty Symptom Resource: Frailty Symptom Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075`
Dependency | Description: Value set Advanced Illness Resource: Advanced Illness Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082`
Dependency | Description: Value set Dementia Medications Resource: Dementia Medications Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510`
Dependency | Description: Value set Palliative Care Diagnosis Resource: Palliative Care Diagnosis Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167`
Dependency | Description: Value set Palliative Care Encounter Resource: Palliative Care Encounter Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090`
Dependency | Description: Value set Palliative Care Intervention Resource: Palliative Care Intervention Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135`
Data Requirement | Type: Patient Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient` Must Support Elements: ombCategory, detailed, text
Data Requirement | Type: Patient Profile(s): Patient Must Support Elements: birthDate
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab` Must Support Elements: code, value, effective, status Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT)
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-lab` Must Support Elements: code, value, effective, status Code Filter(s): Path: code ValueSet: sDNA FIT Test
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, performed, status Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, performed, status Code Filter(s): Path: code ValueSet: Colonoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, performed, status Code Filter(s): Path: code ValueSet: Total Colectomy
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result` Must Support Elements: code, effective, status, category Code Filter(s): Path: code ValueSet: CT Colonography
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Office Visit
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Annual Wellness Visit
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Home Healthcare Services
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Virtual Encounter
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Telephone Visits
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period Code Filter(s): Path: type ValueSet: Encounter Inpatient
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Hospice Encounter
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Frailty Encounter
Data Requirement | Type: Encounter Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Palliative Care Encounter
Data Requirement | Type: Coverage Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage` Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: abatement, verificationStatus, onset, recordedDate, clinicalStatus
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Hospice Diagnosis
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Frailty Diagnosis
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Advanced Illness
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, verificationStatus Code Filter(s): Path: code ValueSet: Palliative Care Diagnosis
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, value, effective, status Code Filter(s): Path: code Code(s): LOINC: 45755-6 (Hospice care [Minimum Data Set]) Path: value
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, value, effective, status Code Filter(s): Path: code Code(s): LOINC: 98181-1 (Medical equipment used) Path: value ValueSet: Frailty Device
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, effective, status Code Filter(s): Path: code Code(s): LOINC: 71802-3 (Housing status)
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, effective, value, status Code Filter(s): Path: code Code(s): LOINC: 71802-3 (Housing status) Path: value
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment` Must Support Elements: code, effective, status Code Filter(s): Path: code Code(s): LOINC: 71007-9 (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal))
Data Requirement | Type: ServiceRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest` Must Support Elements: code, authoredOn Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Procedure Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure` Must Support Elements: code, performed Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Procedure Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure` Must Support Elements: code, performed Code Filter(s): Path: code ValueSet: Palliative Care Intervention
Data Requirement | Type: DeviceRequest Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-devicerequest` Must Support Elements: code, authoredOn Code Filter(s): Path: code ValueSet: Frailty Device
Data Requirement | Type: Observation Profile(s): `http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation` Must Support Elements: code, effective, status Code Filter(s): Path: code ValueSet: Frailty Symptom
Data Requirement | Type: Medication Profile(s): Medication Must Support Elements: id, code Code Filter(s): Path: code ValueSet: Dementia Medications
Data Requirement | Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication.reference, status, intent, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.expectedSupplyDuration.value, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, authoredOn, dispenseRequest.validityPeriod
Data Requirement | Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication, status, intent, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.expectedSupplyDuration.value, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, authoredOn, dispenseRequest.validityPeriod Code Filter(s): Path: medication ValueSet: Dementia Medications
Parameters
Name | Use | Card. | Type | Documentation
Measurement Period | In | 0..1 | Period |
ErrorLevel | In | 0..1 | string |
SDE Sex | Out | 0..1 | Coding |
Numerator | Out | 0..1 | boolean |
Stratification 2 | Out | 0..1 | boolean |
Stratification 1 | Out | 0..1 | boolean |
Denominator | Out | 0..1 | boolean |
SDE Payer | Out | 0..* | Resource |
Initial Population | Out | 0..1 | boolean |
SDE Ethnicity | Out | 0..1 | Resource |
Denominator Exclusions | Out | 0..1 | boolean |
SDE Race | Out | 0..1 | Resource |
Generated using version 0.5.4 of the sample-content-ig Liquid templates