eCQM Content CMS Implementation Guide
2025.7.1 - CI Build

eCQM Content CMS Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.7.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-cms-2025/ and changes regularly. See the Directory of published versions

Library: CMS130FHIRColorectalCancerScreening

Official URL: https://madie.cms.gov/Library/CMS130FHIRColorectalCancerScreening Version: 0.4.000
Active as of 2025-06-27 Responsible: National Committee for Quality Assurance Computable Name: CMS130FHIRColorectalCancerScreening
Other Identifiers: https://madie.cms.gov/login#CMS130FHIRColorectalCancerScreening (use: official, )

CMS130FHIRColorectalCancerScreening

Knowledge Artifact Metadata
Name (machine-readable) CMS130FHIRColorectalCancerScreening
Title (human-readable) CMS130FHIRColorectalCancerScreening
Status active
Experimental false
Description CMS130FHIRColorectalCancerScreening
Library Steward National Committee for Quality Assurance
Dependency Description: Library SDE
Resource: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
Dependency Description: Library Status
Resource: https://madie.cms.gov/Library/Status|1.15.000
Canonical URL: https://madie.cms.gov/Library/Status|1.15.000
Dependency Description: Library FHIRHelpers
Resource: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library QICoreCommon
Resource: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|4.0.000
Dependency Description: Library AdultOutpatientEncounters
Resource: https://madie.cms.gov/Library/AdultOutpatientEncounters|4.19.000
Canonical URL: https://madie.cms.gov/Library/AdultOutpatientEncounters|4.19.000
Dependency Description: Library Hospice
Resource: https://madie.cms.gov/Library/Hospice|6.18.000
Canonical URL: https://madie.cms.gov/Library/Hospice|6.18.000
Dependency Description: Library AIFrailLTCF
Resource: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.27.000
Canonical URL: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.27.000
Dependency Description: Library PalliativeCare
Resource: https://madie.cms.gov/Library/PalliativeCare|1.18.000
Canonical URL: https://madie.cms.gov/Library/PalliativeCare|1.18.000
Dependency Description: Value set Fecal Occult Blood Test (FOBT)
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011
Dependency Description: Value set sDNA FIT Test
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039
Dependency Description: Value set Flexible Sigmoidoscopy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010
Dependency Description: Value set CT Colonography
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038
Dependency Description: Value set Colonoscopy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020
Dependency Description: Value set Malignant Neoplasm of Colon
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
Dependency Description: Value set Total Colectomy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019
Library Metadata
Identifier org.hl7.fhir.r5.model.Identifier@70ec00d5
Version Number 0.4.000
Library Type [http://terminology.hl7.org/CodeSystem/library-type#logic-library]
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
Library Content
CQL Content 
library CMS130FHIRColorectalCancerScreening version '0.4.000'

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"]
Generated using version 0.4.7 of the sample-content-ig Liquid templates