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

: Palliative Care - JSON Representation

Page standards status: Informative Maturity Level: 1

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{
  "resourceType" : "Library",
  "id" : "PalliativeCare",
  "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\">Palliative Care</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>PalliativeCare 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 PalliativeCare version '2.1.000'\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' called Status\n\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\n\nvalueset &quot;Palliative Care Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090'\nvalueset &quot;Palliative Care Intervention&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135'\nvalueset &quot;Palliative Care Diagnosis&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167'\n\ncode &quot;Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)&quot;: '71007-9' from &quot;LOINC&quot; display 'Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ncontext Patient\n\ndefine &quot;Has Palliative Care in the Measurement Period&quot;:\n  // TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)\n  exists ((([USQualityCore.ObservationScreeningAssessment: code ~ &quot;Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)&quot;]).isAssessmentPerformed()) PalliativeAssessment\n      where PalliativeAssessment.effective.toInterval() overlaps day of &quot;Measurement Period&quot;\n  )\n    // TODO: Consider whether to keep this as the union of the problems and encounter diagnosis list? Anything enforced by the profiles that is expected but isn't stated here?\n    or exists ((([FHIR.Condition: &quot;Palliative Care Diagnosis&quot;]).verified()) PalliativeDiagnosis\n        where PalliativeDiagnosis.prevalenceInterval() overlaps day of &quot;Measurement Period&quot;\n    )\n    or exists ((([USQualityCore.Encounter: &quot;Palliative Care Encounter&quot;]).isEncounterPerformed()) PalliativeEncounter\n        where PalliativeEncounter.period overlaps day of &quot;Measurement Period&quot;\n    )\n    or exists ((([USQualityCore.Procedure: &quot;Palliative Care Intervention&quot;]).isInterventionPerformed()) PalliativeIntervention\n        where PalliativeIntervention.performed.toInterval() overlaps day of &quot;Measurement Period&quot;\n    )</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/PalliativeCare",
  "version" : "2026.1.0",
  "name" : "PalliativeCare",
  "title" : "Palliative Care",
  "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" : "PalliativeCare logic.",
  "topic" : [
    {
      "text" : "FHIR"
    },
    {
      "text" : "CQL"
    }
  ],
  "content" : [
    {
      "contentType" : "text/cql",
      "data" : "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"
    }
  ]
}