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="PalliativeCare"/>
<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">Palliative Care</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>PalliativeCare 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 PalliativeCare version '2.1.000'
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'
valueset "Palliative Care Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090'
valueset "Palliative Care Intervention": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135'
valueset "Palliative Care Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167'
code "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)": '71007-9' from "LOINC" display 'Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "Has Palliative Care in the Measurement Period":
// TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)
exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"]).isAssessmentPerformed()) PalliativeAssessment
where PalliativeAssessment.effective.toInterval() overlaps day of "Measurement Period"
)
// 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?
or exists ((([FHIR.Condition: "Palliative Care Diagnosis"]).verified()) PalliativeDiagnosis
where PalliativeDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.Encounter: "Palliative Care Encounter"]).isEncounterPerformed()) PalliativeEncounter
where PalliativeEncounter.period overlaps day of "Measurement Period"
)
or exists ((([USQualityCore.Procedure: "Palliative Care Intervention"]).isInterventionPerformed()) PalliativeIntervention
where PalliativeIntervention.performed.toInterval() 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/PalliativeCare"/>
<version value="2026.1.0"/>
<name value="PalliativeCare"/>
<title value="Palliative Care"/>
<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="PalliativeCare logic."/>
<topic>
<text value="FHIR"/>
</topic>
<topic>
<text value="CQL"/>
</topic>
<content>
<contentType value="text/cql"/>
<data
value="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"/>
</content>
</Library>