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
| Draft as of 2026-07-30 |
<Measure xmlns="http://hl7.org/fhir">
<id value="HOBExample"/>
<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">Version</th>
<td class="content-container">2026.1.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Status</th>
<td class="content-container">Draft</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: o-cob-prevalence-rate)</th>
</tr>
<tr>
<th scope="row" class="row-header">Summary</th>
<td class="content-container">O-COB Prevalence Rate</td>
</tr>
<tr>
<th scope="row" class="row-header">Basis</th>
<td class="content-container">Encounter</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring</th>
<td class="content-container">
Proportion
</td>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: o-cob-ip
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Outpatient (ED/OBS) encounters occurring within the measurement period</p>
<em>Criteria</em>: O-COB Prevalence Rate Initial Population
</td>
</tr>
<tr>
<th scope="row" class="row-header">Denominator</th>
<td class="content-container">
<em>ID</em>: o-cob-denom
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Outpatient (ED/OBS) encounters occurring within the measurement period</p>
<em>Criteria</em>: O-COB Prevalence Rate Denominator
</td>
</tr>
<tr>
<th scope="row" class="row-header">Numerator</th>
<td class="content-container">
<em>ID</em>: o-cob-numer
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of outpatient O-COB events occurring within the measurement period</p>
<em>Criteria</em>: Numerator
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: cob-prevalence-rate)</th>
</tr>
<tr>
<th scope="row" class="row-header">Summary</th>
<td class="content-container">COB Prevalence Rate</td>
</tr>
<tr>
<th scope="row" class="row-header">Basis</th>
<td class="content-container">Encounter</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring</th>
<td class="content-container">
Proportion
</td>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: cob-ip
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period</p>
<em>Criteria</em>: COB Prevalence Rate Initial Population
</td>
</tr>
<tr>
<th scope="row" class="row-header">Denominator</th>
<td class="content-container">
<em>ID</em>: cob-denom
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period</p>
<em>Criteria</em>: COB Prevalence Rate Denominator
</td>
</tr>
<tr>
<th scope="row" class="row-header">Numerator</th>
<td class="content-container">
<em>ID</em>: cob-numer
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Inpatient COB events occurring within the measurement period</p>
<em>Criteria</em>: Numerator
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: hob-crude-risk)</th>
</tr>
<tr>
<th scope="row" class="row-header">Summary</th>
<td class="content-container">HOB Crude Risk</td>
</tr>
<tr>
<th scope="row" class="row-header">Basis</th>
<td class="content-container">Encounter</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring</th>
<td class="content-container">
Proportion
</td>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: hob-crude-ip
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period</p>
<em>Criteria</em>: HOB Crude Risk Initial Population
</td>
</tr>
<tr>
<th scope="row" class="row-header">Denominator</th>
<td class="content-container">
<em>ID</em>: hob-crude-denom
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period</p>
<em>Criteria</em>: HOB Crude Risk Denominator
</td>
</tr>
<tr>
<th scope="row" class="row-header">Numerator</th>
<td class="content-container">
<em>ID</em>: hob-crude-numer
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of inpatient stays with at least one HOB event occurring within the measurement period</p>
<em>Criteria</em>: Numerator
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: hob-incidence)</th>
</tr>
<tr>
<th scope="row" class="row-header">Summary</th>
<td class="content-container">HOB Incidence Density</td>
</tr>
<tr>
<th scope="row" class="row-header">Basis</th>
<td class="content-container">Encounter</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring</th>
<td class="content-container">
Ratio
</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring Unit</th>
<td class="content-container">
per 100 eligible patient days
</td>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: hob-incidence-ip
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Inpatient stay with days eligible for a hospital-onset event during the measurement period</p>
<em>Criteria</em>: HOB Incidence Initial Population
</td>
</tr>
<tr>
<th scope="row" class="row-header">Denominator</th>
<td class="content-container">
<em>ID</em>: hob-incidence-denom
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Inpatient stay with days eligible for a hospital-onset event during the measurement period</p>
<em>Criteria</em>: Denominator
<br/><em>Input Population</em>: hob-incidence-ip
</td>
</tr>
<tr>
<th scope="row" class="row-header">Numerator</th>
<td class="content-container">
<em>ID</em>: hob-incidence-numer
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">HOB Event</p>
<em>Criteria</em>: HOB Incidence Numerator
<br/><em>Input Population</em>: hob-incidence-ip
</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Observation</th>
<td class="content-container">
<em>ID</em>: hob-incidence-denom-obs
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of inipatient days eligible for a hospital-onset event during the measurement period</p>
<em>Criteria</em>: HOB Incidence Denominator Observation
<br/><em>Input Population</em>: hob-incidence-denom
<em>AggregateMethod</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-aggregate-method sum}">Sum</span>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Observation</th>
<td class="content-container">
<em>ID</em>: hob-incidence-numer-obs
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Number of HOB Events</p>
<em>Criteria</em>: HOB Incidence Numerator Observation
<br/><em>Input Population</em>: hob-incidence-numer
<em>AggregateMethod</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-aggregate-method sum}">Sum</span>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><a href="Library-HOB.html">HOB Elements and Logic</a></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>
<url value="https://madie.cms.gov/Measure/HOBExample"/>
<version value="2026.1.0"/>
<status value="draft"/>
<date value="2026-07-30T20:17:17+00:00"/>
<library value="https://madie.cms.gov/Library/HOB"/>
<group id="o-cob-prevalence-rate">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
<valueString value="o-cob-prevalence-rate"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<description value="O-COB Prevalence Rate"/>
<population id="o-cob-ip">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="o-cob-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<description
value="Outpatient (ED/OBS) encounters occurring within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="O-COB Prevalence Rate Initial Population"/>
</criteria>
</population>
<population id="o-cob-denom">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="o-cob-denom"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<description
value="Outpatient (ED/OBS) encounters occurring within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="O-COB Prevalence Rate Denominator"/>
</criteria>
</population>
<population id="o-cob-numer">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="o-cob-numer"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<description
value="Number of outpatient O-COB events occurring within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
</group>
<group id="cob-prevalence-rate">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
<valueString value="cob-prevalence-rate"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<description value="COB Prevalence Rate"/>
<population id="cob-ip">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="cob-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<description
value="Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="COB Prevalence Rate Initial Population"/>
</criteria>
</population>
<population id="cob-denom">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="cob-denom"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<description
value="Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="COB Prevalence Rate Denominator"/>
</criteria>
</population>
<population id="cob-numer">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="cob-numer"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<description
value="Inpatient COB events occurring within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
</group>
<group id="hob-crude-risk">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
<valueString value="hob-crude-risk"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<description value="HOB Crude Risk"/>
<population id="hob-crude-ip">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-crude-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<description
value="Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Crude Risk Initial Population"/>
</criteria>
</population>
<population id="hob-crude-denom">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-crude-denom"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<description
value="Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Crude Risk Denominator"/>
</criteria>
</population>
<population id="hob-crude-numer">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-crude-numer"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<description
value="Number of inpatient stays with at least one HOB event occurring within the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
</group>
<group id="hob-incidence">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
<valueString value="hob-incidence"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="ratio"/>
<display value="Ratio"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit">
<valueCodeableConcept>
<coding>
<system value="http://unitsofmeasure.org"/>
<code value="/100.d"/>
<display value="per 100 eligible patient days"/>
</coding>
</valueCodeableConcept>
</extension>
<description value="HOB Incidence Density"/>
<population id="hob-incidence-ip">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-incidence-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<description
value="Inpatient stay with days eligible for a hospital-onset event during the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Incidence Initial Population"/>
</criteria>
</population>
<population id="hob-incidence-denom">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-incidence-denom"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="hob-incidence-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<description
value="Inpatient stay with days eligible for a hospital-onset event during the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator"/>
</criteria>
</population>
<population id="hob-incidence-denom-obs">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-incidence-denom-obs"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="hob-incidence-denom"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-aggregate-method"/>
<code value="sum"/>
<display value="Sum"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
<display value="Measure Observation"/>
</coding>
</code>
<description
value="Number of inipatient days eligible for a hospital-onset event during the measurement period"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Incidence Denominator Observation"/>
</criteria>
</population>
<population id="hob-incidence-numer">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-incidence-numer"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="hob-incidence-ip"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<description value="HOB Event"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Incidence Numerator"/>
</criteria>
</population>
<population id="hob-incidence-numer-obs">
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
<valueString value="hob-incidence-numer-obs"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="hob-incidence-numer"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-aggregate-method"/>
<code value="sum"/>
<display value="Sum"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
<display value="Measure Observation"/>
</coding>
</code>
<description value="Number of HOB Events"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="HOB Incidence Numerator Observation"/>
</criteria>
</population>
</group>
</Measure>