eCQM QICore Content Implementation Guide
2025.0.0 - CI Build

eCQM 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/ecqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

: CMS1056CTClinicalFHIR - JSON Representation

Active as of 2025-04-18

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{
  "resourceType" : "Library",
  "id" : "CMS1056CTClinicalFHIR",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"🔗 ,
      "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">CMS1056CTClinicalFHIR</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">CMS1056CTClinicalFHIR</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.6.000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\">https://madie.cms.gov/Library/CMS1056CTClinicalFHIR</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        official\n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>CMS1056CTClinicalFHIR</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/library-type</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2025-04-18T13:49:26+00:00</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Alara Imaging, Inc.</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">CMS1056CTClinicalFHIR</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</li>\n                  \n                    <li>https://madie.cms.gov/Library/QICoreCommon|4.0.000</li>\n                  \n                    <li>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</li>\n                  \n                    <li>https://madie.cms.gov/Library/AlaraCommonFunctions|1.6.000</li>\n                  \n                    <li>http://loinc.org</li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Patient</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>\n                  <th>;;</th>\n                  <th>\n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab</th>\n                  <th>;;;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span>http://loinc.org</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>96914-7</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>display: </b> <span>CT dose and image quality category</span>\n                          </p>\n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Coverage</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">library CMS1056CTClinicalFHIR version '0.6.000'\r\n\r\nusing QICore version '6.0.0'\r\n\r\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\r\ninclude CQMCommon version '4.0.000' called CQMCommon\r\ninclude QICoreCommon version '4.0.000' called QICoreCommon\r\ninclude SupplementalDataElements version '5.1.000' called SDE\r\ninclude AlaraCommonFunctions version '1.6.000' called AlaraCommon\r\n\r\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\r\n\r\ncode &quot;Birth date&quot;: '21112-8' from &quot;LOINC&quot; display 'Birth date'\r\ncode &quot;CT dose and image quality category&quot;: '96914-7' from &quot;LOINC&quot; display 'CT dose and image quality category'\r\ncode &quot;Full Body&quot;: 'LA31771-1' from &quot;LOINC&quot; display 'Full Body'\r\n\r\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\r\n\r\ncontext Patient\r\n\r\ndefine &quot;SDE Ethnicity&quot;:\r\n  SDE.&quot;SDE Ethnicity&quot;\r\n\r\ndefine &quot;SDE Payer&quot;:\r\n  SDE.&quot;SDE Payer&quot;\r\n\r\ndefine &quot;SDE Race&quot;:\r\n  SDE.&quot;SDE Race&quot;\r\n\r\ndefine &quot;SDE Sex&quot;:\r\n  SDE.&quot;SDE Sex&quot;\r\n\r\ndefine &quot;Patients with Qualifying CTScan&quot;:\r\n  [LaboratoryResultObservation: &quot;CT dose and image quality category&quot;] CTScanResult\r\n    where QICoreCommon.ToInterval ( CTScanResult.effective ) ends during day of &quot;Measurement Period&quot;\r\n      and ( AgeInYearsAt(start of &quot;Measurement Period&quot;) &gt;= 18 )\r\n\r\ndefine &quot;Patients with Qualifying CTScan with Values&quot;:\r\n  &quot;Patients with Qualifying CTScan&quot; CTScan\r\n    where AlaraCommon.&quot;Global Noise Value&quot; ( CTScan ) is not null\r\n      and AlaraCommon.&quot;Size Adjusted Value&quot; ( CTScan ) is not null\r\n      and CTScan.value is not null\r\n\r\ndefine &quot;Initial Population&quot;:\r\n  exists ( &quot;Patients with Qualifying CTScan&quot; )\r\n\r\ndefine &quot;Denominator&quot;:\r\n  exists ( &quot;Patients with Qualifying CTScan with Values&quot; )\r\n\r\ndefine &quot;Denominator Exclusion&quot;:\r\n  exists ( &quot;Patients with Qualifying CTScan with Values&quot; CTScan\r\n      where ( CTScan.value as Concept ).codes contains &quot;Full Body&quot;\r\n  )\r\n\r\ndefine &quot;Numerator&quot;:\r\n  exists ( &quot;Patients with Qualifying CTScan with Values&quot; CTScan\r\n      where AlaraCommon.&quot;CT Scan Qualifies&quot; ( CTScan )\r\n  )</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n    </table>\n</div>"
  },
  "contained" : [
    {
      "resourceType" : "Parameters",
      "id" : "options",
      "parameter" : [
        {
          "name" : "translatorVersion",
          "valueString" : "3.25.0"
        },
        {
          "name" : "option",
          "valueString" : "EnableAnnotations"
        },
        {
          "name" : "option",
          "valueString" : "EnableLocators"
        },
        {
          "name" : "option",
          "valueString" : "DisableListDemotion"
        },
        {
          "name" : "option",
          "valueString" : "DisableListPromotion"
        },
        {
          "name" : "format",
          "valueString" : "JSON"
        },
        {
          "name" : "format",
          "valueString" : "XML"
        },
        {
          "name" : "analyzeDataRequirements",
          "valueBoolean" : false
        },
        {
          "name" : "collapseDataRequirements",
          "valueBoolean" : false
        },
        {
          "name" : "compatibilityLevel",
          "valueString" : "1.5"
        },
        {
          "name" : "enableCqlOnly",
          "valueBoolean" : false
        },
        {
          "name" : "errorLevel",
          "valueString" : "Info"
        },
        {
          "name" : "signatureLevel",
          "valueString" : "Overloads"
        },
        {
          "name" : "validateUnits",
          "valueBoolean" : true
        },
        {
          "name" : "verifyOnly",
          "valueBoolean" : false
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "21112-8",
        "display" : "Birth date"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "96914-7",
        "display" : "CT dose and image quality category"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA31771-1",
        "display" : "Full Body"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-cqlOptions",
      "valueReference" : {
        "reference" : "#options"
      }
    }
  ],
  "url" : "https://madie.cms.gov/Library/CMS1056CTClinicalFHIR",
  "identifier" : [
    {
      "use" : "official",
      "system" : "https://madie.cms.gov/login",
      "value" : "CMS1056CTClinicalFHIR"
    }
  ],
  "version" : "0.6.000",
  "name" : "CMS1056CTClinicalFHIR",
  "title" : "CMS1056CTClinicalFHIR",
  "status" : "active",
  "experimental" : false,
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "logic-library"
      }
    ]
  },
  "date" : "2025-04-18T13:49:26+00:00",
  "publisher" : "Alara Imaging, Inc.",
  "description" : "CMS1056CTClinicalFHIR",
  "content" : [
    {
      "contentType" : "text/cql",
      "data" : "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"
    }
  ]
}