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dotnet add package Hl7.Cql.Runtime --version 2.2.0
NuGet\Install-Package Hl7.Cql.Runtime -Version 2.2.0
<PackageReference Include="Hl7.Cql.Runtime" Version="2.2.0" />
<PackageVersion Include="Hl7.Cql.Runtime" Version="2.2.0" />Directory.Packages.props
<PackageReference Include="Hl7.Cql.Runtime" />Project file
paket add Hl7.Cql.Runtime --version 2.2.0
#r "nuget: Hl7.Cql.Runtime, 2.2.0"
#:package Hl7.Cql.Runtime@2.2.0
#addin nuget:?package=Hl7.Cql.Runtime&version=2.2.0Install as a Cake Addin
#tool nuget:?package=Hl7.Cql.Runtime&version=2.2.0Install as a Cake Tool
This is NCQA's and Firely's official support SDK for working with CQL on the Microsoft .NET (dotnet) platform. It contains an engine for executing ELM, and/or turning the contents of an ELM file into a .NET assembly so it can be called statically.
The engine has been tested by running it against the current NCQA HEDIS measures and CMS measures. There is quite some variation in how CQL is written and interpreted, so it is likely at this early stage that there will be deviations from other engines currently available.
This is release version 2.1 of the engine. Earlier 1.x releases will be maintained with hotfixes, but will not receive new features.
The releases notes at firely-cql-sdk/releases for each major version will document these changes and (major) issues we have encountered.
The presentation is a good place to start, but note that we have made some minor changes to the public surface, so the names of the classes in the presentation will differ from the examples in the Demo project itself.
The SDK has dependencies on the following key external packages:
During development, pre-releases will appear on Firely's GitHub Package feed. To use these packages you must add https://nuget.pkg.github.com/FirelyTeam/index.json to your NuGet sources:
Get a Personal Access token (PAT) from github.com with scope read:packages
Next open a console on your machine and run dotnet nuget add source --name github --username <USERNAME> --password <PAT> https://nuget.pkg.github.com/FirelyTeam/index.json
USERNAME: your username on GitHub
PAT: your Personal access token with at least the scope read:packages
Further information can be found in .
We actively monitor the issues coming in through the GitHub repository at https://github.com/FirelyTeam/firely-cql-sdk/issues. You are welcome to register your bugs and feature suggestions there. For questions and broader discussions, we use the .NET FHIR Implementers chat and CQL chat on Zulip.
We are welcoming contributions!
If you want to participate in this project, we're using Git Flow for our branch management. Please submit PRs with changes against the develop branch.
Current 2.x development is done against the develop branch, while hotfixes are done under the support/1.x branch. Please refer to our Git Branching and Workflow Guidelines on the wiki for detailed guidelines on git branching and naming conventions.
| Product | Versions Compatible and additional computed target framework versions. |
|---|---|
| .NET | net8.0 net8.0 is compatible. net8.0-android net8.0-android was computed. net8.0-browser net8.0-browser was computed. net8.0-ios net8.0-ios was computed. net8.0-maccatalyst net8.0-maccatalyst was computed. net8.0-macos net8.0-macos was computed. net8.0-tvos net8.0-tvos was computed. net8.0-windows net8.0-windows was computed. net9.0 net9.0 was computed. net9.0-android net9.0-android was computed. net9.0-browser net9.0-browser was computed. net9.0-ios net9.0-ios was computed. net9.0-maccatalyst net9.0-maccatalyst was computed. net9.0-macos net9.0-macos was computed. net9.0-tvos net9.0-tvos was computed. net9.0-windows net9.0-windows was computed. net10.0 net10.0 was computed. net10.0-android net10.0-android was computed. net10.0-browser net10.0-browser was computed. net10.0-ios net10.0-ios was computed. net10.0-maccatalyst net10.0-maccatalyst was computed. net10.0-macos net10.0-macos was computed. net10.0-tvos net10.0-tvos was computed. net10.0-windows net10.0-windows was computed. |
Showing the top 5 NuGet packages that depend on Hl7.Cql.Runtime:
| Package | Downloads |
|---|---|
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Hl7.Cql.Model
Support package for Hl7.Cql. Incorporates CQL model information into the runtime. |
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Hl7.Cql.Fhir
Support package for Hl7.Cql. Contains the bindings to use Firely's .NET SDK Pocos for FHIR. |
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Hl7.Cql.Compiler
Support package for Hl7.Cql. Translates ELM into C# expression trees and can emit those expression trees into either runtime Delegates or C# source code. |
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Hl7.Cql.CodeGeneration.NET
Support package for Hl7.Cql. Converts .NET lambda expressions into C# source code. |
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Hl7.Cql.CqlToElm
Support package for Hl7.Cql. Unit conversion for CQL. Contains functionality to convert CQL to ELM. |
This package is not used by any popular GitHub repositories.
| Version | Downloads | Last Updated |
|---|---|---|
| 2.9.0 | 482 | 6/12/2026 |
| 2.8.2 | 309 | 6/10/2026 |
| 2.8.1 | 302 | 6/4/2026 |
| 2.8.0 | 283 | 6/3/2026 |
| 2.7.0 | 606 | 5/21/2026 |
| 2.6.0 | 2,205 | 3/17/2026 |
| 2.5.0 | 606 | 2/20/2026 |
| 2.4.0 | 3,158 | 1/15/2026 |
| 2.3.1 | 371 | 1/8/2026 |
| 2.2.0 | 6,636 | 10/16/2025 |
| 2.1.0 | 10,188 | 8/19/2025 |
| 2.1.0-rc.1 | 446 | 8/13/2025 |
| 2.1.0-beta.1 | 1,586 | 7/9/2025 |
| 2.1.0-alpha.18 | 2,310 | 5/20/2025 |
| 2.0.17-alpha | 439 | 5/12/2025 |
| 2.0.16-alpha | 513 | 5/1/2025 |
| 2.0.14-alpha | 504 | 4/8/2025 |
| 2.0.13-alpha | 412 | 3/20/2025 |
| 2.0.12-alpha | 2,000 | 2/11/2025 |
| 2.0.11-alpha | 290 | 2/11/2025 |