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: CMS68FHIRDocumentationCurrentMeds

Official URL: https://madie.cms.gov/Library/CMS68FHIRDocumentationCurrentMeds Version: 1.0.000
Active as of 2025-08-21 Responsible: Centers for Medicare & Medicaid Services (CMS) Computable Name: CMS68FHIRDocumentationCurrentMeds
Other Identifiers: https://madie.cms.gov/login#CMS68FHIRDocumentationCurrentMeds (use: official, )

CMS68FHIRDocumentationCurrentMeds

Metadata
Title CMS68FHIRDocumentationCurrentMeds
Version 1.0.000
Identifier CMS68FHIRDocumentationCurrentMeds
Steward (Publisher) Centers for Medicare & Medicaid Services (CMS)
Description

CMS68FHIRDocumentationCurrentMeds
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: Qualifying Encounter During Day of Measurement Period
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: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exceptions
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: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Must Support Elements: code, performed, status, status.value
Code Filter(s):
Path: code
Code(s): SNOMED CT 428191000124101: Documentation of current medications (procedure)
Data Requirement Type: Procedure
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurenotdone
Must Support Elements: code, extension, status, status.value, reasonCode
Code Filter(s):
Path: code
Code(s): SNOMED CT 428191000124101: Documentation of current medications (procedure)
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/2.16.840.1.113883.3.600.1.1834
Library Content
CQL Content 
library CMS68FHIRDocumentationCurrentMeds version '1.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include QICoreCommon version '4.0.000' called QICoreCommon
include SupplementalDataElements version '5.1.000' called SDE

codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Encounter to Document Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1.1834'

code "Acute health crisis (finding)": '705016005' from "SNOMEDCT" display 'Acute health crisis (finding)'
code "Documentation of current medications (procedure)": '428191000124101' from "SNOMEDCT" display 'Documentation of current medications (procedure)'

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 "Denominator":
  "Initial Population"

define "Qualifying Encounter During Day of Measurement Period":
  ["Encounter": "Encounter to Document Medications"] ValidEncounter
    where ValidEncounter.status = 'finished'
      and ValidEncounter.period during day of "Measurement Period"

define "Initial Population":
  "Qualifying Encounter During Day of Measurement Period" QualifyingEncounter

define "Numerator":
  "Qualifying Encounter During Day of Measurement Period" QualifyingEncounter
    with [Procedure: "Documentation of current medications (procedure)"] MedicationsDocumented
      such that MedicationsDocumented.performed.toInterval ( ) starts during day of QualifyingEncounter.period
        and MedicationsDocumented.performed.toInterval ( ).hasEnd ( )
        and MedicationsDocumented.status = 'completed'

define "Denominator Exceptions":
  "Qualifying Encounter During Day of Measurement Period" QualifyingEncounter
    with [ProcedureNotDone: code ~ "Documentation of current medications (procedure)"] MedicationsNotDocumented
      such that MedicationsNotDocumented.recorded during day of QualifyingEncounter.period
        and MedicationsNotDocumented.status = 'not-done'
        and exists ( MedicationsNotDocumented.reasonCode reasonItem
            where reasonItem ~ "Acute health crisis (finding)"
        )
ELM XML Content 
Encoded data (72724 characters)
ELM JSON Content 
Encoded data (146824 characters)
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