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 |
<Library xmlns="http://hl7.org/fhir">
<id value="Hospice"/>
<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">Hospice</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>Hospice 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 Hospice version '7.1.000'
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' called Status
codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Hospice Care Ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584'
valueset "Hospice Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003'
valueset "Hospice Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165'
code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT" display 'Discharge to healthcare facility for hospice care (procedure)'
code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT" display 'Discharge to home for hospice care (procedure)'
code "Hospice care [Minimum Data Set]": '45755-6' from "LOINC" display 'Hospice care [Minimum Data Set]'
code "Yes (qualifier value)": '373066001' from "SNOMEDCT" display 'Yes (qualifier value)'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "Has Hospice Services":
exists ((([USQualityCore.Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter
where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
)
and InpatientEncounter.period ends during day of "Measurement Period"
)
or exists ((([USQualityCore.Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter
where HospiceEncounter.period overlaps day of "Measurement Period"
)
// TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)
or exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment
where HospiceAssessment.value ~ "Yes (qualifier value)"
and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder
where HospiceOrder.authoredOn during day of "Measurement Period"
)
or exists ((([USQualityCore.Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed
where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"
)
// TODO: Consider whether to keep this as the union of Problems and EncounterDiagnosis
or exists ((([FHIR.Condition: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis
where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)</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/Hospice"/>
<version value="2026.1.0"/>
<name value="Hospice"/>
<title value="Hospice"/>
<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="Hospice logic."/>
<topic>
<text value="FHIR"/>
</topic>
<topic>
<text value="CQL"/>
</topic>
<content>
<contentType value="text/cql"/>
<data
value="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"/>
</content>
</Library>