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

: Adult Outpatient Encounters - XML Representation

Page standards status: Informative Maturity Level: 1

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="AdultOutpatientEncounters"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header">Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Adult Outpatient Encounters</td>


</tr>



<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">2026.1.0</td>


</tr>
















<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">FHIR
</td>


</tr>

<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">CQL
</td>


</tr>













<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Adult outpatient encounters logic.</p>
</div></td>


</tr>






<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    logic-library from <a href="http://terminology.hl7.org/7.3.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a> 


</td>


</tr>








<tr>


<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>


</tr>


<tr>


<th scope="row" class="row-header">Parameter</th>



<td class="content-container">None</td>


</tr>








  <tr>


<th colspan="2" scope="row" class="row-header">Library Content</th>


</tr>
  
    
    <tr>
      <th scope="row" class="row-header">CQL Content</th>
      <td>
        <a name="cql-content"> </a>
        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library AdultOutpatientEncounters version '5.1.000'

using USQualityCore version '0.5.0'
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 Status version '2.1.000'

valueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240' 
valueset &quot;Home Healthcare Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016' 
valueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001' 
valueset &quot;Virtual Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089' 
valueset &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025' 
valueset &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023' 
valueset &quot;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080' 

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00, @2026-12-31T23:59:59]

context Patient

// NOTE: The USQualityCore encounter here is not introducing any constraints, and so could be expressed directly using US Core
define &quot;Qualifying Encounters&quot;:
  ( ( 
    [USQualityCore.Encounter: &quot;Office Visit&quot;]
      union [USQualityCore.Encounter: &quot;Annual Wellness Visit&quot;]
      union [USQualityCore.Encounter: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]
      union [USQualityCore.Encounter: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]
      union [USQualityCore.Encounter: &quot;Home Healthcare Services&quot;]
      union [USQualityCore.Encounter: &quot;Virtual Encounter&quot;]
      union [USQualityCore.Encounter: &quot;Telephone Visits&quot;] 
    ).isEncounterPerformed() 
  ) ValidEncounter
    where ValidEncounter.period during day of &quot;Measurement Period&quot;</code></pre>
      </td>
    </tr>
    
  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.6-cibuild of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative"/>
  </extension>
  <url value="https://madie.cms.gov/Library/AdultOutpatientEncounters"/>
  <version value="2026.1.0"/>
  <name value="AdultOutpatientEncounters"/>
  <title value="Adult Outpatient Encounters"/>
  <status value="active"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2026-07-30T20:17:17+00:00"/>
  <description value="Adult outpatient encounters logic."/>
  <topic>
    <text value="FHIR"/>
  </topic>
  <topic>
    <text value="CQL"/>
  </topic>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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"/>
  </content>
</Library>