dQM QICore Content Implementation Guide
2025.0.0 - CI Build

dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

Library: CMS1056FHIRCTClinical

Official URL: https://madie.cms.gov/Library/CMS1056FHIRCTClinical Version: 1.0.000
Active as of 2025-08-21 Responsible: Alara Imaging, Inc. Computable Name: CMS1056FHIRCTClinical
Other Identifiers: https://madie.cms.gov/login#CMS1056FHIRCTClinical (use: official, )

CMS1056FHIRCTClinical

Metadata
Title CMS1056FHIRCTClinical
Version 1.0.000
Identifier CMS1056FHIRCTClinical
Steward (Publisher) Alara Imaging, Inc.
Description

CMS1056FHIRCTClinical
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Patient
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Ethnicity
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Payer
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Race
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Sex
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Coding
Parameter Name: Patients with Qualifying CTScan
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Patients with Qualifying CTScan with Values
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator Exclusion
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code, status, status.value, effective
Code Filter(s):
Path: code
Code(s): LOINC 96914-7: CT dose and image quality category
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code, status, status.value, effective, value, value.codes
Code Filter(s):
Path: code
Code(s): LOINC 96914-7: CT dose and image quality category
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code, status, status.value, effective, value
Code Filter(s):
Path: code
Code(s): LOINC 96914-7: CT dose and image quality category
Library Content
CQL Content 
library CMS1056FHIRCTClinical version '1.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include CQMCommon version '4.1.000' called CQMCommon
include QICoreCommon version '4.0.000' called QICoreCommon
include SupplementalDataElements version '5.1.000' called SDE
include AlaraCommonFunctions version '1.10.000' called AlaraCommon

codesystem "LOINC": 'http://loinc.org'

code "CT dose and image quality category": '96914-7' from "LOINC" display 'CT dose and image quality category'
code "Full Body": 'LA31771-1' from "LOINC" display 'Full Body'

parameter "Measurement Period" Interval<DateTime>

context Patient

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex"

define "Patients with Qualifying CTScan":
  [ObservationClinicalResult: "CT dose and image quality category"] CTScanResult
    where CTScanResult.status in { 'final', 'amended', 'corrected' }
      and CTScanResult.effective.toInterval ( ) ends during day of "Measurement Period"
      and ( AgeInYearsAt(date from start of "Measurement Period") >= 18 )

define "Patients with Qualifying CTScan with Values":
  "Patients with Qualifying CTScan" CTScan
    where CTScan.globalNoiseValue ( ) is not null
      and CTScan.sizeAdjustedValue ( ) is not null
      and CTScan.value is not null

define "Initial Population":
  exists ( "Patients with Qualifying CTScan" )

define "Denominator":
  exists ( "Patients with Qualifying CTScan with Values" )

define "Denominator Exclusion":
  exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues
      where ( CTScanWithValues.value as Concept ).codes contains "Full Body"
  )

define "Numerator":
  exists ( "Patients with Qualifying CTScan with Values" CTScanWithValues
      where CTScanWithValues.ctScanQualifies ( )
  )
ELM XML Content 
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ELM JSON Content 
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