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: CMS1074FHIRCTIQR

Official URL: https://madie.cms.gov/Library/CMS1074FHIRCTIQR Version: 1.0.000
Active as of 2025-08-25 Responsible: Alara Imaging, Inc. Computable Name: CMS1074FHIRCTIQR
Other Identifiers: https://madie.cms.gov/login#CMS1074FHIRCTIQR (use: official, )

CMS1074FHIRCTIQR

Metadata
Title CMS1074FHIRCTIQR
Version 1.0.000
Identifier CMS1074FHIRCTIQR
Steward (Publisher) Alara Imaging, Inc.
Description

CMS1074FHIRCTIQR
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: Qualifying Inpatient Encounters
Use: Out
Min Cardinality: 0
Max Cardinality: *
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: Qualifying Scan During Inpatient Encounter
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Qualifying Scan With Values
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exclusion
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
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: Encounter
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Must Support Elements: type, status, status.value, period
Code Filter(s):
Path: type
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Library Content
CQL Content 
library CMS1074FHIRCTIQR 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'

valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'

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 "Qualifying Inpatient Encounters":
  ["Encounter": "Encounter Inpatient"] InpatientEncounter
    where InpatientEncounter.status ~ 'finished'
      and InpatientEncounter.period ends during day of "Measurement Period"
      and AgeInYearsAt(date from start of "Measurement Period") >= 18

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 "Numerator":
  "Qualifying Scan With Values" CTScanWithValues
    where CTScanWithValues.ctScanQualifies ( )

define "Initial Population":
  "Qualifying Scan During Inpatient Encounter"

define "Denominator":
  "Qualifying Scan With Values"

define "Denominator Exclusion":
  "Qualifying Scan With Values" CTScanWithValues
    where ( CTScanWithValues.value as Concept ).codes contains "Full Body"

define "Qualifying Scan With Values":
  "Qualifying Scan During Inpatient Encounter" CTScan
    where CTScan.globalNoiseValue ( ) is not null
      and CTScan.sizeAdjustedValue ( ) is not null
      and CTScan.value is not null

define "Qualifying Scan During Inpatient Encounter":
  [ObservationClinicalResult: "CT dose and image quality category"] CTScan
    with "Qualifying Inpatient Encounters" InpatientEncounters
      such that CTScan.status in { 'final', 'amended', 'corrected' }
        and CTScan.effective.toInterval ( ) starts during InpatientEncounters.period
        and CTScan.effective.toInterval ( ) ends during day of "Measurement Period"
ELM XML Content 
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ELM JSON Content 
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Generated using version 0.5.0 of the sample-content-ig Liquid templates