dQM QICore Content Implementation Guide
2025.0.0 - CI Build
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
| Official URL: https://madie.cms.gov/Measure/CMS133FHIRCataracts2040BCVA90Days#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: American Academy of Ophthalmology | Computable Name: EffectiveDataRequirements | ||
| Metadata | |
|---|---|
| Type | Module Definition |
| Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
| Parameter |
Name: Numerator
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: Denominator
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 Exclusions
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: SDE Sex
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding |
| Parameter |
Name: SDE Payer
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Parameter |
Name: SDE Race
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: extension, birthDate, birthDate.value, url |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Cataract Surgery |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Clinical Result Must Support Elements: code, effective, status, status.value, value Code Filter(s): Path: code Code(s): SNOMED CT 419775003: Best corrected visual acuity (observable entity) |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Clinical Result Must Support Elements: code, effective, status, status.value, value Code Filter(s): Path: code ValueSet: Best Corrected Visual Acuity Exam Using Snellen Chart |
| Data Requirement |
Type: Coverage
Profile(s): QICore Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Acute and Subacute Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Amblyopia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Burn Confined to Eye and Adnexa |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Secondary to Ocular Disorders |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Congenital |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Mature or Hypermature |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Posterior Polar |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Central Corneal Ulcer |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Certain Types of Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Degenerations |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Detachment |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Hemorrhage and Rupture |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Chronic Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Cloudy Cornea |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Corneal Edema |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Cornea Including Corneal Opacity |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Degeneration of Macula and Posterior Pole |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Degenerative Disorders of Globe |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Macular Edema |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Retinopathy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Optic Chiasm |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Visual Cortex |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Disseminated Chorioretinitis and Disseminated Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Focal Chorioretinitis and Focal Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Glaucoma |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Glaucoma Associated with Congenital Anomalies and Dystrophies and Systemic Syndromes |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Choroidal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Corneal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Retinal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hypotony of Eye |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Injury to Optic Nerve and Pathways |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Macular Scar of Posterior Polar |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Morgagnian Cataract |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Nystagmus and Other Irregular Eye Movements |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Open Wound of Eyeball |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Optic Atrophy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Optic Neuritis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Background Retinopathy and Retinal Vascular Changes |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Disorders of Optic Nerve |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Endophthalmitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Proliferative Retinopathy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Pathologic Myopia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Posterior Lenticonus |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Prior Penetrating Keratoplasty |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Purulent Endophthalmitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Retinal Detachment with Retinal Defect |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Retinal Vascular Occlusion |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Retrolental Fibroplasias |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Scleritis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Separation of Retinal Layers |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Traumatic Cataract |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Uveitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Vascular Disorders of Iris and Ciliary Body |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Visual Field Defects |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Acute and Subacute Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Amblyopia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Burn Confined to Eye and Adnexa |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Secondary to Ocular Disorders |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Congenital |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Mature or Hypermature |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Cataract Posterior Polar |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Central Corneal Ulcer |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Certain Types of Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Degenerations |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Detachment |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Choroidal Hemorrhage and Rupture |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Chronic Iridocyclitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Cloudy Cornea |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Corneal Edema |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Cornea Including Corneal Opacity |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Degeneration of Macula and Posterior Pole |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Degenerative Disorders of Globe |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Macular Edema |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Diabetic Retinopathy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Optic Chiasm |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Disorders of Visual Cortex |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Disseminated Chorioretinitis and Disseminated Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Focal Chorioretinitis and Focal Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Glaucoma |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Glaucoma Associated with Congenital Anomalies and Dystrophies and Systemic Syndromes |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Choroidal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Corneal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hereditary Retinal Dystrophies |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hypotony of Eye |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Injury to Optic Nerve and Pathways |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Macular Scar of Posterior Polar |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Morgagnian Cataract |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Nystagmus and Other Irregular Eye Movements |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Open Wound of Eyeball |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Optic Atrophy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Optic Neuritis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Background Retinopathy and Retinal Vascular Changes |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Disorders of Optic Nerve |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Endophthalmitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Other Proliferative Retinopathy |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Pathologic Myopia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Posterior Lenticonus |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Prior Penetrating Keratoplasty |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Purulent Endophthalmitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Retinal Detachment with Retinal Defect |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Retinal Vascular Occlusion |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Retrolental Fibroplasias |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Scleritis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Separation of Retinal Layers |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Traumatic Cataract |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Uveitis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Vascular Disorders of Iris and Ciliary Body |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Visual Field Defects |
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