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: CMS130FHIRColorectalCancerScrn

Official URL: https://madie.cms.gov/Library/CMS130FHIRColorectalCancerScrn Version: 1.0.000
Active as of 2025-07-25 Responsible: National Committee for Quality Assurance Computable Name: CMS130FHIRColorectalCancerScrn
Other Identifiers: https://madie.cms.gov/login#CMS130FHIRColorectalCancerScrn (use: official, )

CMS130FHIRColorectalCancerScrn

Metadata
Title CMS130FHIRColorectalCancerScrn
Version 1.0.000
Identifier CMS130FHIRColorectalCancerScrn
Steward (Publisher) National Committee for Quality Assurance
Description

CMS130FHIRColorectalCancerScrn
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: 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: Malignant Neoplasm
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Total Colectomy Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exclusions
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Fecal Occult Blood Test Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Stool DNA with FIT Test Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Flexible Sigmoidoscopy Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: CT Colonography Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Colonoscopy Performed
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Stratification 1
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Stratification 2
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: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
Data Requirement Type: Condition
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis
Must Support Elements: code
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, performed
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab
Must Support Elements: code, value, effective
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab
Must Support Elements: code, value, effective
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, performed
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010
Data Requirement Type: Observation
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
Must Support Elements: code, effective
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, performed
Code Filter(s):
Path: code
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020
Library Content
CQL Content 
library CMS130FHIRColorectalCancerScrn version '1.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include SupplementalDataElements version '5.1.000' called SDE
include Hospice version '6.18.000' called Hospice
include PalliativeCare version '1.18.000' called PalliativeCare
include AdultOutpatientEncounters version '4.19.000' called AdultOutpatientEncounters
include AdvancedIllnessandFrailty version '1.27.000' called AIFrailLTCF
include Status version '1.15.000' called Status
include QICoreCommon version '4.0.000' called QICoreCommon

valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'
valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'
valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'
valueset "sDNA FIT Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'
valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'
valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'
valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'

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 "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[46, 75]
    and exists AdultOutpatientEncounters."Qualifying Encounters"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  Hospice."Has Hospice Services"
    or exists "Malignant Neoplasm"
    or exists "Total Colectomy Performed"
    or AIFrailLTCF."Is Age 66 or Older with Advanced Illness and Frailty"
    or AIFrailLTCF."Is Age 66 or Older Living Long Term in a Nursing Home"
    or PalliativeCare."Has Palliative Care in the Measurement Period"

define "Numerator":
  exists "Fecal Occult Blood Test Performed"
    or exists "Stool DNA with FIT Test Performed"
    or exists "Flexible Sigmoidoscopy Performed"
    or exists "CT Colonography Performed"
    or exists "Colonoscopy Performed"

define "Fecal Occult Blood Test Performed":
  ( ( [LaboratoryResultObservation: "Fecal Occult Blood Test (FOBT)"] ).isLaboratoryTestPerformed ( ) ) FecalOccultResult
    where FecalOccultResult.value is not null
      and FecalOccultResult.effective.latest ( ) during day of "Measurement Period"

define "Malignant Neoplasm":
  ( ( [ConditionProblemsHealthConcerns: "Malignant Neoplasm of Colon"]
      union [ConditionEncounterDiagnosis: "Malignant Neoplasm of Colon"]
  ).verified ( ) ) ColorectalCancer
    where ColorectalCancer.prevalenceInterval ( ) starts on or before day of end of "Measurement Period"

define "Total Colectomy Performed":
  ( ( [Procedure: "Total Colectomy"] ).isProcedurePerformed ( ) ) Colectomy
    where Colectomy.performed.toInterval ( ) ends on or before day of end of "Measurement Period"

define "Stratification 1":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[46, 49]

define "Stratification 2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[50, 75]

define "Colonoscopy Performed":
  ( ( [Procedure: "Colonoscopy"] ).isProcedurePerformed ( ) ) ColonoscopyProcedure
    where ColonoscopyProcedure.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 9 years, end of "Measurement Period"]

define "Flexible Sigmoidoscopy Performed":
  ( ( [Procedure: "Flexible Sigmoidoscopy"] ).isProcedurePerformed ( ) ) FlexibleSigmoidoscopy
    where FlexibleSigmoidoscopy.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]

define "CT Colonography Performed":
  ( ( [ObservationClinicalResult: "CT Colonography"] ).isDiagnosticStudyPerformed ( ) ) Colonography
    where Colonography.effective.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]

define "Stool DNA with FIT Test Performed":
  ( ( [LaboratoryResultObservation: "sDNA FIT Test"] ).isLaboratoryTestPerformed ( ) ) sDNATest
    where sDNATest.value is not null
      and sDNATest.effective.latest ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]
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ELM JSON Content 
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