Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build
Draft dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2025/ and changes regularly. See the Directory of published versions
| Official URL: https://madie.cms.gov/Measure/CMS142FHIRCommWithDrManagingDiab#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: American Academy of Ophthalmology | Computable Name: EffectiveDataRequirements | ||
| Metadata | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | module-definition from http://terminology.hl7.org/CodeSystem/library-type | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency |
Description: USQualityCore model information
Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild
Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild |
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| Dependency |
Description: USCore model information
Resource: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived Canonical URL: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived |
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| Dependency |
Description: FHIR model information
Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 |
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| Dependency |
Description: Library SDE
Resource: SupplementalDataElements version: 6.1.000 Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000 |
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| Dependency |
Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 |
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| Dependency |
Description: Library USCommon
Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot |
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| Dependency |
Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 |
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| Dependency |
Description: Library Status
Resource: Status version: 2.1.000 Canonical URL: https://madie.cms.gov/Library/Status|2.1.000 |
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| Dependency |
Description: Library USQualityCoreCommon
Resource: US Quality Core Common version: 0.1.0-cibuild Canonical URL: https://madie.cms.gov/Library/USQualityCoreCommon|0.1.0-cibuild |
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| Dependency |
Description: Code system SNOMEDCT
Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct |
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| Dependency |
Description: Code system ActCode
Resource: ActCode Canonical URL: http://terminology.hl7.org/CodeSystem/v3-ActCode |
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| Dependency |
Description: Code system ConditionVerificationStatusCodes
Resource: ConditionVerificationStatus Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status |
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| Dependency |
Description: Value set Level of Severity of Retinopathy Findings
Resource: Level of Severity of Retinopathy Findings Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1283 |
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| Dependency |
Description: Value set Office Visit
Resource: Office Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 |
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| Dependency |
Description: Value set Ophthalmological Services
Resource: Ophthalmological Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285 |
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| Dependency |
Description: Value set Outpatient Consultation
Resource: Outpatient Consultation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008 |
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| Dependency |
Description: Value set Care Services in Long-Term Residential Facility
Resource: Care Services in Long Term Residential Facility Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014 |
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| Dependency |
Description: Value set Nursing Facility Visit
Resource: Nursing Facility Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012 |
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| Dependency |
Description: Value set Diabetic Retinopathy
Resource: Diabetic Retinopathy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327 |
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| Dependency |
Description: Value set Macular Edema Findings Absent
Resource: Macular Edema Findings Absent Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.2.1391 |
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| Dependency |
Description: Value set Macular Edema Findings Present
Resource: Macular Edema Findings Present Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1320 |
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| Dependency |
Description: Value set Macular Exam
Resource: Macular Exam Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1251 |
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| Dependency |
Description: Value set Payer Type
Resource: Payer Type Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 |
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| Dependency |
Description: Value set Medical Reason
Resource: Medical Reason Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007 |
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| Dependency |
Description: Value set Patient Reason
Resource: Patient Reason Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008 |
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| Data Requirement |
Type: Patient
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient
Must Support Elements: ombCategory, detailed, text |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, class Code Filter(s): Path: type ValueSet: Office Visit |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, class Code Filter(s): Path: type ValueSet: Ophthalmological Services |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, class Code Filter(s): Path: type ValueSet: Outpatient Consultation |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, class Code Filter(s): Path: type ValueSet: Care Services in Long Term Residential Facility |
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| Data Requirement |
Type: Encounter
Profile(s): Encounter Must Support Elements: type, period, status, class Code Filter(s): Path: type ValueSet: Nursing Facility Visit |
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| Data Requirement |
Type: Patient
Profile(s): Patient Must Support Elements: birthDate |
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| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns
Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Retinopathy |
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| Data Requirement |
Type: Condition
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis
Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Retinopathy |
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| Data Requirement |
Type: Communication
Profile(s): Communication Must Support Elements: category, sent, status Code Filter(s): Path: category ValueSet: Level of Severity of Retinopathy Findings Path: status Code(s): [not stated]: completed (completed) |
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| Data Requirement |
Type: Communication
Profile(s): Communication Must Support Elements: category, sent, status Code Filter(s): Path: category ValueSet: Macular Edema Findings Absent Path: status Code(s): [not stated]: completed (completed) |
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| Data Requirement |
Type: Communication
Profile(s): Communication Must Support Elements: category, sent, status Code Filter(s): Path: category ValueSet: Macular Edema Findings Present Path: status Code(s): [not stated]: completed (completed) |
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| Data Requirement |
Type: Observation
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result
Must Support Elements: code, effective, value, status Code Filter(s): Path: code ValueSet: Macular Exam |
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| Data Requirement |
Type: Coverage
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage
Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
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| Data Requirement |
Type: Communication
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-communicationnotdone
Must Support Elements: category, statusReason Code Filter(s): Path: category ValueSet: Level of Severity of Retinopathy Findings |
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| Data Requirement |
Type: Communication
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-communicationnotdone
Must Support Elements: category, sent, statusReason Code Filter(s): Path: category ValueSet: Macular Edema Findings Absent |
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| Data Requirement |
Type: Communication
Profile(s): http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-communicationnotdone
Must Support Elements: category, sent, statusReason Code Filter(s): Path: category ValueSet: Macular Edema Findings Present |
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| Parameters | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Generated using version 0.5.4 of the sample-content-ig Liquid templates | |||||||||||||||||||||||||||||||||||||||||||||||||||