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
| Library | Description |
|---|---|
| AHAOverall | This version of the AHAOverall library is patterned after HFCommonDefinitionsQDM library version '3.0.000' |
| AdultOutpatientEncounters | This library contains a definition used to identify denominator qualifying encounters. |
| AdvancedIllnessandFrailty | This library contains definitions used to exclude patients 66 and older with an indication of frailty who also meet advanced illness criteria, and patients 66 and older who are living long term in a nursing home. |
| AlaraCommonFunctions | AlaraCommonFunctions |
| Antibiotic | This library contains functions used to exclude patients with a history of comorbid conditions, competing diagnoses, or antibiotic medications. |
| CMS0334FHIRPCCesareanBirth | CMS0334FHIRPCCesareanBirth |
| CMS1017FHIRHHFI | CMS1017FHIRHHFI |
| CMS1028FHIRPCSevereOBComps | CMS1028FHIRPCSevereOBComps |
| CMS104FHIRSTKDCAntithrombotic | CMS104FHIRSTKDCAntithrombotic |
| CMS1056FHIRCTClinical | CMS1056FHIRCTClinical |
| CMS1074FHIRCTIQR | CMS1074FHIRCTIQR |
| CMS108FHIRVTEProphylaxis | CMS108FHIRVTEProphylaxis |
| CMS1154ScreeningPrediabetesFHIR | CMS1154ScreeningPrediabetesFHIR |
| CMS1157FHIRHIVRetention | CMS1157FHIRHIVRetention |
| CMS1173FHIRDiagnosticDelayVTE | CMS1173FHIRDiagnosticDelayVTE |
| CMS117FHIRChildImmunStatus | CMS117FHIRChildImmunStatus |
| CMS1188FHIRHIVSTITesting | CMS1188FHIRHIVSTITesting |
| CMS1206FHIRCTOQR | CMS1206FHIRCTOQR |
| CMS1218FHIRHHRF | CMS1218FHIRHHRF |
| CMS122FHIRDiabetesAssessGT9Pct | CMS122FHIRDiabetesAssessGT9Pct |
| CMS1244FHIRECATHOQR | CMS1244FHIRECATHOQR |
| CMS124FHIRCervicalCancerScreen | CMS124FHIRCervicalCancerScreen |
| CMS125FHIRBreastCancerScreen | CMS125FHIRBreastCancerScreen |
| CMS1264FHIRECATREHQR | CMS1264FHIRECATREHQR |
| CMS128FHIRAntidepressantMgmt | CMS128FHIRAntidepressantMgmt |
| CMS129FHIRProstCaBoneScanUse | CMS129FHIRProstCaBoneScanUse |
| CMS130FHIRColorectalCancerScrn | CMS130FHIRColorectalCancerScrn |
| CMS131FHIRDiabetesEyeExam | CMS131FHIRDiabetesEyeExam |
| CMS133FHIRCataracts2040BCVA90Days | CMS133FHIRCataracts2040BCVA90Days |
| CMS135FHIRACEIorARBorARNIforHF | CMS135FHIRACEIorARBorARNIforHF |
| CMS136FHIRChildADHDMedFollowUp | CMS136FHIRChildADHDMedFollowUp |
| CMS137FHIRSUDTxInitEngagement | CMS137FHIRSUDTxInitEngagement |
| CMS138FHIRTobaccoScrnCessation | CMS138FHIRTobaccoScrnCessation |
| CMS139FHIRFallRiskScreening | CMS139FHIRFallRiskScreening |
| CMS142FHIRCommWithDrManagingDiab | CMS142FHIRCommWithDrManagingDiab |
| CMS143FHIRPOAGOpticNerveEval | CMS143FHIRPOAGOpticNerveEval |
| CMS144FHIRHFBetaBlockerForLVSD | CMS144FHIRHFBetaBlockerForLVSD |
| CMS145FHIRCADBBlockerTPMIorLVSD | CMS145FHIRCADBBlockerTPMIorLVSD |
| CMS146FHIRApproTestPharyngitis | CMS146FHIRApproTestPharyngitis |
| CMS149FHIRDementiaCognitiveAssess | CMS149FHIRDementiaCognitiveAssess |
| CMS153FHIRChlamydiaScreening | CMS153FHIRChlamydiaScreening |
| CMS154FHIRAppropriateTxforURI | CMS154FHIRAppropriateTxforURI |
| CMS155FHIRWgtAssessCounseling | CMS155FHIRWgtAssessCounseling |
| CMS156FHIRHighRiskMedsElderly | CMS156FHIRHighRiskMedsElderly |
| CMS157FHIRPainIntensityQuantified | CMS157FHIRPainIntensityQuantified |
| CMS159FHIRDepRemissionat12Months | CMS159FHIRDepRemissionat12Months |
| CMS165FHIRControllingHighBP | CMS165FHIRControllingHighBP |
| CMS177FHIRChildMDDSuicideAssmt | CMS177FHIRChildMDDSuicideAssmt |
| CMS190FHIRVTEProphylaxisICU | CMS190FHIRVTEProphylaxisICU |
| CMS22FHIRPCSBPScreeningFollowUp | CMS22FHIRPCSBPScreeningFollowUp |
| CMS2FHIRPCSDepScreenAndFollowUp | CMS2FHIRPCSDepScreenAndFollowUp |
| CMS314FHIRHIVViralSuppression | CMS314FHIRHIVViralSuppression |
| CMS347FHIRStatinPreventionTxCVD | CMS347FHIRStatinPreventionTxCVD |
| CMS349FHIRHIVScreening | CMS349FHIRHIVScreening |
| CMS506FHIRSafeUseofOpioids | CMS506FHIRSafeUseofOpioids |
| CMS50FHIRReceiptofSpecialistReport | CMS50FHIRReceiptofSpecialistReport |
| CMS56FHIRFuncStatHipReplacement | CMS56FHIRFuncStatHipReplacement |
| CMS645FHIRBoneDensityPCADTherapy | CMS645FHIRBoneDensityPCADTherapy |
| CMS646FHIRIntravesicalBCGTherapy | CMS646FHIRIntravesicalBCGTherapy |
| CMS68FHIRDocumentationCurrentMeds | CMS68FHIRDocumentationCurrentMeds |
| CMS69FHIRPCSBMIScreenAndFollowUp | CMS69FHIRPCSBMIScreenAndFollowUp |
| CMS71FHIRSTKAnticoagAFFlutter | CMS71FHIRSTKAnticoagAFFlutter |
| CMS72FHIRSTKAntithromboticDay2 | CMS72FHIRSTKAntithromboticDay2 |
| CMS74FHIRDentalCariesPrevention | CMS74FHIRDentalCariesPrevention |
| CMS75FHIRChildrenDentalDecay | CMS75FHIRChildrenDentalDecay |
| CMS771FHIRUrinarySymptomScoreBPH | CMS771FHIRUrinarySymptomScoreBPH |
| CMS816FHIRHHHypo | CMS816FHIRHHHypo |
| CMS819FHIRHHORAE | CMS819FHIRHHORAE |
| CMS826FHIRHHPI | CMS826FHIRHHPI |
| CMS832FHIRHHAKI | CMS832FHIRHHAKI |
| CMS871FHIRHHHyper | CMS871FHIRHHHyper |
| CMS90FHIRFSAforHeartFailure | CMS90FHIRFSAforHeartFailure |
| CMS951FHIRKidneyHealthEval | CMS951FHIRKidneyHealthEval |
| CMS986FHIRMalnutritionScore | CMS986FHIRMalnutritionScore |
| CMS996FHIRAptTxforSTEMI | CMS996FHIRAptTxforSTEMI |
| CMSFHIR529HybridHospitalWideReadmission | CMSFHIR529HybridHospitalWideReadmission |
| CMSFHIR844HybridHospitalWideMortality | CMSFHIR844HybridHospitalWideMortality |
| CQMCommon | This library contains declarations that are commonly used in eCQMs and shared across the logic of multiple measures, such as the Encounter Inpatient value set, and the Inpatient Encounter population criteria definition. This library also contains functions for calculating hospitalization duration as well as hospital arrival and departure times. |
| Hospice | This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period. |
| NHSNAcuteCareHospitalMonthlyInitialPopulation1 | NHSNAcuteCareHospitalMonthlyInitialPopulation1 |
| NHSNGlycemicControlHypoglycemiaInitialPopulation | NHSNGlycemicControlHypoglycemiaInitialPopulation |
| NHSNHelpers | NHSNHelpers |
| PCMaternal | This library specifies common data elements used by PC01, PC02, PC07. |
| PalliativeCare | This library contains a definition used to exclude patients receiving palliative care for any part of the measurement period. |
| Status | This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA. |
| 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 |
| TJCOverall | Common functions and definitions used by TJC measures |
| US Quality Core Common | Common terminologies and functions used in US Quality Core-based CQL artifacts |
| VTE | Definitions and functions used for VTE measures, including VTE Initial Population. |