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Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

CMS Measure ID: CMS133v10    Performance/Reporting Period: 2022    Version: 10    NQF Number: 0565e
Description:

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery

Data Elements and coded QDM Attributes contained within the eCQM

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Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of acute and subacute iridocyclitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of acute and subacute iridocyclitis, including primary and secondary iridocyclitis, and hypopyon.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Acute and Subacute Iridocyclitis value set (2.16.840.1.113883.3.526.3.1241)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of amblyopia.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of amblyopia, including suspected amblyopia.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Amblyopia value set (2.16.840.1.113883.3.526.3.1448)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of a burn of the eye and/or adnexa.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of burns of various parts of the eye, or eye corrosion.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Burn Confined to Eye and Adnexa value set (2.16.840.1.113883.3.526.3.1409)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of cataract that is a secondary diagnosis to other ocular conditions.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of cataract secondary to degenerative or inflammatory ocular disorders, cataract with neovascularization, or subcapsular glaucomatous flecks.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Cataract Secondary to Ocular Disorders value set (2.16.840.1.113883.3.526.3.1410)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of congenital cataract.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of congenital cataract.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Cataract, Congenital value set (2.16.840.1.113883.3.526.3.1412)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of mature or hypermature cataract.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of mature or hypermature cataract, including senile or intumescent cataract.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Cataract, Mature or Hypermature value set (2.16.840.1.113883.3.526.3.1413)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of posterior polar cataract.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of posterior polar cataract, including capsular or subcapsular cataract.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Cataract, Posterior Polar value set (2.16.840.1.113883.3.526.3.1414)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of central corneal ulcer.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of central corneal ulcer or keratitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Central Corneal Ulcer value set (2.16.840.1.113883.3.526.3.1428)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of various types of iridocyclitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of lens-induced iridocyclitis, Fuchs' heterochromic cyclitis, Vogt-Koyanagi syndrome, and other types of iridocyclitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Certain Types of Iridocyclitis value set (2.16.840.1.113883.3.526.3.1415)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of choroidal degenerations.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of degenerations of the choroid, including choroid atrophy and dystrophy, angioid streaks, and choroideremia.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Choroidal Degenerations value set (2.16.840.1.113883.3.526.3.1450)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of choroidal detachment.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis choroidal detachment, or effusion.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Choroidal Detachment value set (2.16.840.1.113883.3.526.3.1451)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of choroidal hemorrhage and/or rupture.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of choroidal hemorrhage and rupture.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Choroidal Hemorrhage and Rupture value set (2.16.840.1.113883.3.526.3.1452)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of chronic iridocyclitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of chronic or recurrent iridocyclitis or tuberculous iridocyclitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Chronic Iridocyclitis value set (2.16.840.1.113883.3.526.3.1416)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of cloudy cornea.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of opacity of the cornea, adherent or corneal leukoma, and haziness of the cornea.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Cloudy Cornea value set (2.16.840.1.113883.3.526.3.1417)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of corneal edema.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of corneal edema, including keratopathy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Corneal Edema value set (2.16.840.1.113883.3.526.3.1418)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of corneal opacity and other corneal disorders.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of opacity of the cornea, adherent or corneal leukoma, scarring of the cornea, and corneal haze.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Corneal Opacity and Other Disorders of Cornea value set (2.16.840.1.113883.3.526.3.1419)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of degeneration of macula and posterior pole.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of macula and/or posterior pole degenerations, including age-related degenerations, macular cyst, maculopathy, macular puckering, macular hole, atrophy or dystrophy of macula.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Degeneration of Macula and Posterior Pole value set (2.16.840.1.113883.3.526.3.1453)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of degenerative disorders of globe.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of degenerative disorders of globe, including degenerative myopia, chalcosis, siderosis, and other degenerative diagnoses.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Degenerative Disorders of Globe value set (2.16.840.1.113883.3.526.3.1454)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of diabetic macular edema.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of diabetic macular edema or diabetic retinopathy with macular edema.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Diabetic Macular Edema value set (2.16.840.1.113883.3.526.3.1455)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of diabetic retinopathy.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of diabetic retinopathy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Diabetic Retinopathy value set (2.16.840.1.113883.3.526.3.327)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of disorders of optic chiasm.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of optic chiasm disorders or injuries or optic glioma.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Disorders of Optic Chiasm value set (2.16.840.1.113883.3.526.3.1457)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of disorders of visual cortex.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of a disorder of visual cortex, including inflammatory disorders, neoplasm, and cortical blindness.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Disorders of Visual Cortex value set (2.16.840.1.113883.3.526.3.1458)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of disseminated chorioretinitis and/or retinochoroiditis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of disseminated chorioretinal inflammation, disseminated retinochoroiditis, and placoid pigment epitheliopathy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Disseminated Chorioretinitis and Disseminated Retinochoroiditis value set (2.16.840.1.113883.3.526.3.1459)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of focal chorioretinitis and/or retinochoroiditis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of focal chorioretinitis, choroiditis, retinochoroiditis and retinitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Focal Chorioretinitis and Focal Retinochoroiditis value set (2.16.840.1.113883.3.526.3.1460)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of glaucoma associated with congenital anomalies, dystrophies, and systemic syndromes.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of glaucoma that may be due to congenital anomalies, dystrophies, or other systemic syndromes, including trauma, or a secondary diagnosis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes value set (2.16.840.1.113883.3.526.3.1461)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for glaucoma.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: This value set may use a model element related to Diagnosis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Glaucoma value set (2.16.840.1.113883.3.526.3.1423)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of hereditary choroidal dystrophies.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of hereditary choroidal dystrophies, including choroideremia and atrophy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Hereditary Choroidal Dystrophies value set (2.16.840.1.113883.3.526.3.1462)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of hereditary corneal dystrophies.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of hereditary corneal dystrophies, including congenital, epithelial/juvenile, granular, lattice or macular corneal dystrophies.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Hereditary Corneal Dystrophies value set (2.16.840.1.113883.3.526.3.1424)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of hereditary retinal dystrophies.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of hereditary retinal or vitreoretinal dystrophies, including Usher syndrome.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Hereditary Retinal Dystrophies value set (2.16.840.1.113883.3.526.3.1463)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of hypotony of eye.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of hypotony of eye.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Hypotony of Eye value set (2.16.840.1.113883.3.526.3.1426)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of injury to optic nerve and optic pathways.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of injuries to optic nerve, optic chiasm, optic tract, optic pathways and optic visual cortex.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Injury to Optic Nerve and Pathways value set (2.16.840.1.113883.3.526.3.1427)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of macular scar of posterior polar.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of macular or posterior pole scarring.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Macular Scar of Posterior Polar value set (2.16.840.1.113883.3.526.3.1559)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of morgagnian cataract.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of a morgagnian cataract.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Morgagnian Cataract value set (2.16.840.1.113883.3.526.3.1558)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for nystagmus and other irregular eye movements.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of nystagmus.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Nystagmus and Other Irregular Eye Movements value set (2.16.840.1.113883.3.526.3.1465)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of open wound of the eyeball.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of choroidal rupture, traumatic enucleation of eye, and avulsion, contusion, laceration, penetration and/or rupture of eye.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Open Wound of Eyeball value set (2.16.840.1.113883.3.526.3.1430)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for optic atrophy.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of optic atrophy, which may include atrophy of the optic disc.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Optic Atrophy value set (2.16.840.1.113883.3.526.3.1466)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of optic neuritis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of optic neuritis, neuropathy, neuroretinitis, and papillitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Optic Neuritis value set (2.16.840.1.113883.3.526.3.1467)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: Includes concepts that represent a diagnosis of posterior cyclitis, chorioretinal inflammation, other chorioretinitis or retinitis or retinochoroiditis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with a diagnosis of posterior cyclitis, chorioretinal inflammation, other chorioretinitis or retinitis or retinochoroiditis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis value set (2.16.840.1.113883.3.526.3.1468)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of other background retinopathy and retinal vascular changes.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of various retinal changes and retinopathies, including exudative retinopathy, retinal neovascularization, arteriolitis, arteritis, endarteritis, phlebitis, and vasculitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Other Background Retinopathy and Retinal Vascular Changes value set (2.16.840.1.113883.3.526.3.1469)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis for other disorders of optic nerve.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of ischemic optic neuropathy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Other Disorders of Optic Nerve value set (2.16.840.1.113883.3.526.3.1471)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of other endophthalmitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of ophthalmia nodosa, parasitic cyst or endophthalmitis, panuveitis, sympathetic uveitis, or other endophthalmitis diagnoses.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Other Endophthalmitis value set (2.16.840.1.113883.3.526.3.1473)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of other proliferative retinopathy.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of premature retinopathy.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Other Proliferative Retinopathy value set (2.16.840.1.113883.3.526.3.1480)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis for pathologic myopia.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of degenerative disorders of eye, Forster-Fuchs' spot, malignant or severe myopia, and myopic macular degeneration.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Pathologic Myopia value set (2.16.840.1.113883.3.526.3.1432)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis for posterior lenticonus.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of posterior lenticonus, including spherophakia.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Posterior Lenticonus value set (2.16.840.1.113883.3.526.3.1433)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of penetrating keratoplasty.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of keratoconus.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Prior Penetrating Keratoplasty value set (2.16.840.1.113883.3.526.3.1475)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for purulent endophthalmitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of purulent endophthalmitis, panophthalmitis, vitreous abscess, and other types of endophthalmitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Purulent Endophthalmitis value set (2.16.840.1.113883.3.526.3.1477)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis for retinal detachment with a retinal defect.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of various types of retinal detachments.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Retinal Detachment with Retinal Defect value set (2.16.840.1.113883.3.526.3.1478)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of retinal vascular occlusion.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of retinal vein or artery occlusion.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Retinal Vascular Occlusion value set (2.16.840.1.113883.3.526.3.1479)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis for retrolental fibroplasias.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of retrolental fibroplasias, including retinopathy of prematurity.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Retrolental Fibroplasias value set (2.16.840.1.113883.3.526.3.1438)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for scleritis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of specific types of scleritis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Scleritis value set (2.16.840.1.113762.1.4.1226.1)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for separation of the layers of the retina.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of serous chorioretinopathy and types of retinal detachment.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Separation of Retinal Layers value set (2.16.840.1.113883.3.526.3.1482)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for traumatic cataract.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of traumatic cataract, including concussion cataract.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Traumatic Cataract value set (2.16.840.1.113883.3.526.3.1443)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for diagnoses of uveitis.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of uveitis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Uveitis value set (2.16.840.1.113883.3.526.3.1444)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a diagnosis of vascular disorders of iris and ciliary body.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis for a vascular disorder of the iris and/or ciliary body, including rubeosis iridis.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Vascular Disorders of Iris and Ciliary Body value set (2.16.840.1.113883.3.526.3.1445)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of diagnoses for visual field defects.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of visual field defects, including scotoma and decreased field of vision.
Exclusion Criteria: Excludes concepts that represent a diagnosis for 'unspecified eye.'

Constrained to codes in the Diagnosis: Visual Field Defects value set (2.16.840.1.113883.3.526.3.1446)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Diagnosis"

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

Direct Reference Code

Constrained to 'Birth date' LOINC code

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Patient Characteristic, Birthdate"

The "Patient Characteristic Birthdate" should document the patient’s date of birth.

Timing: The "Patient Characteristic, Birthdate" is a single point in time representing the date and time of birth. It does not have a start and stop time.

Note: "Patient Characteristic Birthdate" is fixed to LOINC code 21112-8 (Birth date) and therefore cannot be further qualified with a value set.

Value Set Description from VSAC
Clinical Focus: n/a Data Element Scope: n/a Inclusion Criteria: n/a Exclusion Criteria: n/a

Constrained to codes in the Patient Characteristic, Ethnicity: Ethnicity value set (2.16.840.1.114222.4.11.837)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Patient Characteristic, Ethnicity"

Data elements that meet criteria using this datatype should document that the patient has one or more of the ethnicities indicated by the QDM category and its corresponding value set.

Timing: Ethnicity does not have a specific timing. Measures using "Patient Characteristic, Ethnicity" should address the most recent entry in the clinical record.

Value Set Description from VSAC
Clinical Focus: Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
Data Element Scope: @code in CCDA r2.1 template Planned Coverage [act: identifier urn:oid:2.16.840.1.113883.10.20.22.4.129 (open)] DYNAMIC
Inclusion Criteria: All codes in the code system
Exclusion Criteria: none

Constrained to codes in the Patient Characteristic, Payer: Payer value set (2.16.840.1.114222.4.11.3591)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Patient Characteristic, Payer"

Data elements that meet criteria using this datatype should document that the patient has one or more of the payers indicated by the QDM category and its corresponding value set.

Timing:

The relevantPeriod addresses:

  • startTime – the first day of insurance coverage with the referenced payer.
  • stopTime – the last day of insurance coverage with the referenced payer.
Value Set Description from VSAC
Clinical Focus: n/a Data Element Scope: n/a Inclusion Criteria: n/a Exclusion Criteria: n/a

Constrained to codes in the Patient Characteristic, Race: Race value set (2.16.840.1.114222.4.11.836)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Patient Characteristic, Race"

Data elements that meet criteria using this datatype should document the patient’s race.

Timing: Race does not have a specific timing. Measures using "Patient Characteristic, Race" should address the most recent entry in the clinical record.

Value Set Description from VSAC
Clinical Focus: Gender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories.
Data Element Scope: Gender
Inclusion Criteria: Male and Female only.
Exclusion Criteria: Any gender identity that is not male or female.

Constrained to codes in the Patient Characteristic, Sex: ONC Administrative Sex value set (2.16.840.1.113762.1.4.1)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Patient Characteristic, Sex"

Data elements that meet criteria using this datatype should document that the patient's sex matches the QDM category and its corresponding value set.

Timing: Birth (administrative) sex does not have a specific timing.

Direct Reference Code

Constrained to 'Best corrected visual acuity (observable entity)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Physical Exam, Performed"

Data elements that meet criteria using this datatype should document the completion of the physical exam indicated by the QDM category and its corresponding value set.

Timing:

  • relevant dateTime references the time the physical exam is performed when the physical exam occurs at a single point in time.
  • relevantPeriod references a start and stop time for a physical exam that occurs over a time interval. relevantPeriod addresses:
    • startTime - The time the physical exam begins.
    • stopTime - The time the physical exam ends.
  • author dateTime references the time the action was recorded.
  • Refer to the eCQM expression to determine allowable timings to meet measure criteria.

Notes:

  • Timing refers to a single instance of a physical examination activity. If a measure seeks to evaluate multiple physical examination activities over a period of time, the measure developer should use CQL logic to represent the query request.
  • negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a physical exam for visual acuity exams using a Snellen chart.
Data Element Scope: This value set may use a model element related to Physical Exam.
Inclusion Criteria: Includes concepts that represent a physical exam for visual acuity using a Snellen chart.
Exclusion Criteria: No exclusions.

Constrained to codes in the Physical Exam, Performed: Best Corrected Visual Acuity Exam Using Snellen Chart value set (2.16.840.1.113883.3.526.3.1560)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Physical Exam, Performed"

Data elements that meet criteria using this datatype should document the completion of the physical exam indicated by the QDM category and its corresponding value set.

Timing:

  • relevant dateTime references the time the physical exam is performed when the physical exam occurs at a single point in time.
  • relevantPeriod references a start and stop time for a physical exam that occurs over a time interval. relevantPeriod addresses:
    • startTime - The time the physical exam begins.
    • stopTime - The time the physical exam ends.
  • author dateTime references the time the action was recorded.
  • Refer to the eCQM expression to determine allowable timings to meet measure criteria.

Notes:

  • Timing refers to a single instance of a physical examination activity. If a measure seeks to evaluate multiple physical examination activities over a period of time, the measure developer should use CQL logic to represent the query request.
  • negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of procedures for cataract surgery.
Data Element Scope: This value set may use a model element related to Procedure.
Inclusion Criteria: Includes concepts that represent a procedure of cataract surgery.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Cataract Surgery value set (2.16.840.1.113883.3.526.3.1411)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Procedure, Performed"

Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.

Timing:

  • relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
  • relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
    • startTime - The time the procedure begins.
    • stopTime - The time the procedure ends.
  • author dateTime references the time the action was recorded.
  • Refer to the eCQM expression to determine allowable timings to meet measure criterion.

Notes: 

  • Timing refers to a single instance of a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
  • The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
  • negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
  • For clarification, see Appendix 6.6 with 2020 guidance about differentiating between successful and unsuccessful procedures.
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of a physical exam with visual acuity findings that are 20/40 or better.
Data Element Scope: This value set may use a model element Physical Exam.
Inclusion Criteria: Includes concepts that represent a physical exam with a result of distance vision findings of 20/40 or better.
Exclusion Criteria: No exclusions.

Constrained to codes in the Result: Visual Acuity 20/40 Or Better value set (2.16.840.1.113883.3.526.3.1483)

QDM Attribute and Definition (QDM Version 5.5 Guidance Update)

result

The final consequences or data collected from the datatype. results can be used in four ways to express:

  • That a result is present in the electronic record but any entry is acceptable
  • A numerical result is reported directly as a value. Values may be integers or decimal numbers without units, or as a quantity with a value and units - examples:
    • 100mg/dL for a lab test
    • 140 mmHg for blood pressure
    • as a percentage (actually as a quantity with % as units)
    • as a titer or ratio (e.g., 1:4, 1:80)
  • A result that matches one of a specific set of coded concepts in a value set or a code that matches a direct reference code
  • A result as a dateTime ("Assessment, Performed" and components)