dQM CMS Content Implementation Guide
2026.1.0 - CI Build
dQM CMS Content Implementation Guide
2026.1.0 - CI Build
dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 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-2026/ and changes regularly. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 1 |
{
"resourceType" : "Library",
"id" : "AdultOutpatientEncounters",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Adult Outpatient Encounters</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2026.1.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">FHIR\n</td>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">CQL\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>Adult outpatient encounters logic.</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n logic-library from <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a> \n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n\n\n<td class=\"content-container\">None</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n \n \n <tr>\n <th scope=\"row\" class=\"row-header\">CQL Content</th>\n <td>\n <a name=\"cql-content\"> </a>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nNOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.\n*/\nlibrary AdultOutpatientEncounters version '5.1.000'\n\nusing USQualityCore version '0.5.0'\nusing USCore version '6.1.0-derived'\nusing FHIR version '4.0.1'\n\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers\ninclude hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon\n\ninclude Status version '2.1.000'\n\nvalueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240' \nvalueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016' \nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001' \nvalueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089' \nvalueset "Preventive Care Services Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025' \nvalueset "Preventive Care Services Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023' \nvalueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080' \n\nparameter "Measurement Period" Interval<DateTime>\n default Interval[@2026-01-01T00:00:00, @2026-12-31T23:59:59]\n\ncontext Patient\n\n// NOTE: The USQualityCore encounter here is not introducing any constraints, and so could be expressed directly using US Core\ndefine "Qualifying Encounters":\n ( ( \n [USQualityCore.Encounter: "Office Visit"]\n union [USQualityCore.Encounter: "Annual Wellness Visit"]\n union [USQualityCore.Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]\n union [USQualityCore.Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]\n union [USQualityCore.Encounter: "Home Healthcare Services"]\n union [USQualityCore.Encounter: "Virtual Encounter"]\n union [USQualityCore.Encounter: "Telephone Visits"] \n ).isEncounterPerformed() \n ) ValidEncounter\n where ValidEncounter.period during day of "Measurement Period"</code></pre>\n </td>\n </tr>\n \n \n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6-cibuild of the sample-content-ig Liquid templates</th>\n</tr>\n\n </tbody>\n </table>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
}
],
"url" : "https://madie.cms.gov/Library/AdultOutpatientEncounters",
"version" : "2026.1.0",
"name" : "AdultOutpatientEncounters",
"title" : "Adult Outpatient Encounters",
"status" : "active",
"experimental" : false,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2026-07-30T20:17:17+00:00",
"description" : "Adult outpatient encounters logic.",
"topic" : [
{
"text" : "FHIR"
},
{
"text" : "CQL"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : "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"
}
]
}