eCQM Title | # Chlamydia Screening in Women
eCQM Identifier (Measure Authoring Tool) | 153 | eCQM Version Number | 12.0.000
NQF Number | Not Applicable | GUID | c9930664-be3d-4ffe-ae4a-5cf4933ecb89
Measurement Period | January 1, 20XX through December 31, 20XX
Measure Steward | National Committee for Quality Assurance
Measure Developer | National Committee for Quality Assurance
Endorsed By | None
Description |
    Percentage of women 16-24 years of age who were identified as sexually active at any time during the measurement period and who had at least one test for chlamydia during the measurement period
Copyright |
    This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2022 National Committee for Quality Assurance. All Rights Reserved.

    Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications.

    CPT(R) codes, descriptions and other data are copyright 2022. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

    LOINC(R) copyright 2004-2022 Regenstrief Institute, Inc.

    This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation.

    ICD-10 copyright 2022 World Health Organization. All Rights Reserved.
Disclaimer |
    The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.

    Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Measure Scoring | Proportion
Measure Type | Process
Stratification |
    Report a total score, and each of the following strata:
    Stratum 1: Patients age 16-20 by the end of the measurement period
    Stratum 2: Patients age 21-24 by the end of the measurement period
Risk Adjustment |
    None
Rate Aggregation |
    None
Rationale |
    Chlamydia trachomatis is the most common sexually transmitted bacterial infection in the U.S., resulting in roughly 1.7 million cases (Centers for Disease Control and Prevention, 2019). Chlamydia infections are often asymptomatic, but, if left untreated, can lead to serious and irreversible complications (U.S. Preventive Services Task Force, 2014; Centers for Disease Control and Prevention, 2019).

    Women are particularly vulnerable when infected with chlamydia. Left untreated, chlamydia can cause pelvic inflammatory disease (PID), which can lead to chronic pelvic pain or infertility. Pregnant women may also transmit the infection to their infant, potentially resulting in neonatal pneumonia (Centers for Disease Control and Prevention, 2019).
Clinical Recommendation Statement |
    U.S. Preventive Services Task Force (2021) recommends screening for chlamydia in all sexually active women aged 24 years or younger and in women 25 years or older who are at increased risk for infection (B recommendation)
Improvement Notation |
    Higher score indicates better quality
Reference |
    Reference Type: CITATION
    Reference Text: 'Centers for Disease Control and Prevention (CDC). (2019). Sexually Transmitted Disease Surveillance 2018. Atlanta: U.S. Department of Health and Human Services.'
Reference |
    Reference Type: CITATION
    Reference Text: 'US Preventive Services Task Force, Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Krist, A. H., Kubik, M., Li, L., Ogedegbe, G., Pbert, L., Silverstein, M., Simon, M. A., Stevermer, J., Tseng, C. W., & Wong, J. B. (2021). Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Recommendation Statement. JAMA, 326(10), 949–956. https://doi.org/10.1001/jama.2021.14081'
Definition |
    None
Guidance |
    Codes to identify sexually active women include codes for: pregnancy, sexually transmitted infections, contraceptives or contraceptive devices, and infertility treatments.

    The denominator exclusion does not apply to patients who qualify for the initial population (IP) based on services other than the pregnancy test alone. These other services include services for sexually transmitted infections, contraceptives or contraceptive devices and infertility treatments. For example, a patient who has both a pregnancy test and a chlamydia diagnosis, either of which would qualify them for the IP, would not be eligible for this denominator exclusion.

    This eCQM is a patient-based measure.

    This version of the eCQM uses QDM version 5.6. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.
Transmission Format |
    TBD
Initial Population |
    Women 16 to 24 years of age by the end of the measurement period who are sexually active and who had a visit in the measurement period
Denominator |
    Equals Initial Population
Denominator Exclusions |
    Women who are only eligible for the initial population due to a pregnancy test during the measurement period, and who had an order for an x-ray or for a specified medication on the date of the pregnancy test or the six days after the pregnancy test.

    Exclude patients who are in hospice care for any part of the measurement period.
Numerator |
    Women with at least one chlamydia test during the measurement period
Numerator Exclusions |
    Not Applicable
Denominator Exceptions |
    None
Supplemental Data Elements |
    For every patient evaluated by this measure also identify payer, race, ethnicity and sex

## Table of Contents

- Population Criteria
- Definitions
- Functions
- Terminology
- Data Criteria (QDM Data Elements)
- Supplemental Data Elements
- Risk Adjustment Variables

### Population Criteria

- - Initial Population

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[16, 24]
              and exists ( ["Patient Characteristic Sex": "Female"] )
              and exists ( "Qualifying Encounters" )
              and ( ( "Has Assessments Identifying Sexual Activity" )
                  or ( "Has Diagnoses Identifying Sexual Activity" )
                  or ( "Has Active Contraceptive Medications" )
                  or ( "Has Ordered Contraceptive Medications" )
                  or ( "Has Laboratory Tests Identifying Sexual Activity" )
                  or ( "Has Diagnostic Studies Identifying Sexual Activity" )
                  or ( "Has Procedures Identifying Sexual Activity" )
              )

- - Denominator

    - -     "Initial Population"

- - Denominator Exclusions

    - -     Hospice."Has Hospice Services"
              or ( ( "Has Pregnancy Test Exclusion" )
                  and not ( "Has Assessments Identifying Sexual Activity" )
                  and not ( "Has Diagnoses Identifying Sexual Activity" )
                  and not ( "Has Active Contraceptive Medications" )
                  and not ( "Has Ordered Contraceptive Medications" )
                  and not ( "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy" )
                  and not ( "Has Diagnostic Studies Identifying Sexual Activity" )
                  and not ( "Has Procedures Identifying Sexual Activity" )
              )

- - Numerator

    - -     exists ( ["Laboratory Test, Performed": "Chlamydia Screening"] ChlamydiaTest
                where Global."LatestOf" ( ChlamydiaTest.relevantDatetime, ChlamydiaTest.relevantPeriod ) during day of "Measurement Period"
                  and ChlamydiaTest.result is not null
            )

- - Numerator Exclusions

    - -     None

- - Denominator Exceptions

    - -     None

- - Stratification 1

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[16, 20]

- - Stratification 2

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[21, 24]

### Definitions

- - Denominator

    - -     "Initial Population"

  - Denominator Exclusions

    - -     Hospice."Has Hospice Services"
              or ( ( "Has Pregnancy Test Exclusion" )
                  and not ( "Has Assessments Identifying Sexual Activity" )
                  and not ( "Has Diagnoses Identifying Sexual Activity" )
                  and not ( "Has Active Contraceptive Medications" )
                  and not ( "Has Ordered Contraceptive Medications" )
                  and not ( "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy" )
                  and not ( "Has Diagnostic Studies Identifying Sexual Activity" )
                  and not ( "Has Procedures Identifying Sexual Activity" )
              )

  - Has Active Contraceptive Medications

    - -     exists ( ["Medication, Active": "Contraceptive Medications"] ActiveContraceptives
                where ActiveContraceptives.relevantPeriod overlaps "Measurement Period"
            )

  - Has Assessments Identifying Sexual Activity

    - -     exists ( ["Assessment, Performed": "Have you ever had vaginal intercourse [PhenX]"] SexualActivityAssessment
                where SexualActivityAssessment.result ~ "Yes (qualifier value)"
                  and Global."NormalizeInterval" ( SexualActivityAssessment.relevantDatetime, SexualActivityAssessment.relevantPeriod ) on or before
                  end of "Measurement Period"
            )

  - Has Diagnoses Identifying Sexual Activity

    - -     exists ( ( ["Diagnosis": "Diagnoses Used to Indicate Sexual Activity"]
                union ["Diagnosis": "HIV"]
                union ["Diagnosis": "Complications of Pregnancy, Childbirth and the Puerperium"] ) SexualActivityDiagnosis
                where SexualActivityDiagnosis.prevalencePeriod overlaps "Measurement Period"
            )

  - Has Diagnostic Studies Identifying Sexual Activity

    - -     exists ( ["Diagnostic Study, Order": "Diagnostic Studies During Pregnancy"] SexualActivityDiagnostics
                where SexualActivityDiagnostics.authorDatetime during day of "Measurement Period"
            )

  - Has Laboratory Tests Identifying Sexual Activity

    - -     exists ( ["Laboratory Test, Order": "Pregnancy Test"] PregnancyTest
                where PregnancyTest.authorDatetime during day of "Measurement Period"
            )
              or "Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy"

  - Has Laboratory Tests Identifying Sexual Activity But Not Pregnancy

    - -     exists ( ( ["Laboratory Test, Order": "Pap Test"]
                union ["Laboratory Test, Order": "Lab Tests During Pregnancy"]
                union ["Laboratory Test, Order": "Lab Tests for Sexually Transmitted Infections"] ) LabOrders
                where LabOrders.authorDatetime during day of "Measurement Period"
            )

  - Has Ordered Contraceptive Medications

    - -     exists ( ["Medication, Order": "Contraceptive Medications"] OrderedContraceptives
                where OrderedContraceptives.authorDatetime during day of "Measurement Period"
            )

  - Has Pregnancy Test Exclusion

    - -     exists ( ( ["Laboratory Test, Order": "Pregnancy Test"] PregnancyTest
                  with ["Diagnostic Study, Order": "XRay Study"] XrayOrder
                    such that XrayOrder.authorDatetime occurs 6 days or less on or after day of PregnancyTest.authorDatetime
                  where PregnancyTest.authorDatetime during "Measurement Period"
              )
                union ( ["Laboratory Test, Order": "Pregnancy Test"] PregnancyTestOrder
                    with ["Medication, Order": "Isotretinoin"] AccutaneOrder
                      such that AccutaneOrder.authorDatetime occurs 6 days or less on or after day of PregnancyTestOrder.authorDatetime
                    where PregnancyTestOrder.authorDatetime during "Measurement Period"
                )
            )

  - Has Procedures Identifying Sexual Activity

    - -     exists ( ["Procedure, Performed": "Procedures Used to Indicate Sexual Activity"] ProceduresForSexualActivity
                where Global."NormalizeInterval" ( ProceduresForSexualActivity.relevantDatetime, ProceduresForSexualActivity.relevantPeriod ) during day of "Measurement Period"
            )

  - Hospice.Has Hospice Services

    - -     exists ( ["Encounter, Performed": "Encounter Inpatient"] InpatientEncounter
                where ( InpatientEncounter.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
                    or InpatientEncounter.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
                )
                  and InpatientEncounter.relevantPeriod ends during day of "Measurement Period"
            )
              or exists ( ["Encounter, Performed": "Hospice Encounter"] HospiceEncounter
                  where HospiceEncounter.relevantPeriod overlaps day of "Measurement Period"
              )
              or exists ( ["Assessment, Performed": "Hospice care [Minimum Data Set]"] HospiceAssessment
                  where HospiceAssessment.result ~ "Yes (qualifier value)"
                    and Global."NormalizeInterval" ( HospiceAssessment.relevantDatetime, HospiceAssessment.relevantPeriod ) overlaps day of "Measurement Period"
              )
              or exists ( ["Intervention, Order": "Hospice Care Ambulatory"] HospiceOrder
                  where HospiceOrder.authorDatetime during day of "Measurement Period"
              )
              or exists ( ["Intervention, Performed": "Hospice Care Ambulatory"] HospicePerformed
                  where Global."NormalizeInterval" ( HospicePerformed.relevantDatetime, HospicePerformed.relevantPeriod ) overlaps day of "Measurement Period"
              )
            or exists ( ["Diagnosis": "Hospice Diagnosis"] HospiceCareDiagnosis
                  where HospiceCareDiagnosis.prevalencePeriod overlaps day of "Measurement Period"
              )

  - Initial Population

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[16, 24]
              and exists ( ["Patient Characteristic Sex": "Female"] )
              and exists ( "Qualifying Encounters" )
              and ( ( "Has Assessments Identifying Sexual Activity" )
                  or ( "Has Diagnoses Identifying Sexual Activity" )
                  or ( "Has Active Contraceptive Medications" )
                  or ( "Has Ordered Contraceptive Medications" )
                  or ( "Has Laboratory Tests Identifying Sexual Activity" )
                  or ( "Has Diagnostic Studies Identifying Sexual Activity" )
                  or ( "Has Procedures Identifying Sexual Activity" )
              )

  - Numerator

    - -     exists ( ["Laboratory Test, Performed": "Chlamydia Screening"] ChlamydiaTest
                where Global."LatestOf" ( ChlamydiaTest.relevantDatetime, ChlamydiaTest.relevantPeriod ) during day of "Measurement Period"
                  and ChlamydiaTest.result is not null
            )

  - Qualifying Encounters

    - -     ( ( ["Encounter, Performed": "Office Visit"]
                union ["Encounter, Performed": "Preventive Care Services Established Office Visit, 18 and Up"]
                union ["Encounter, Performed": "Preventive Care Services Initial Office Visit, 18 and Up"]
                union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"]
                union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"]
                union ["Encounter, Performed": "Home Healthcare Services"]
                union ["Encounter, Performed": "Telephone Visits"]
                union ["Encounter, Performed": "Online Assessments"] ) ValidEncounters
                where ValidEncounters.relevantPeriod during day of "Measurement Period"
            )

  - SDE Ethnicity

    - -     ["Patient Characteristic Ethnicity": "Ethnicity"]

  - SDE Payer

    - -     ["Patient Characteristic Payer": "Payer"]

  - SDE Race

    - -     ["Patient Characteristic Race": "Race"]

  - SDE Sex

    - -     ["Patient Characteristic Sex": "ONC Administrative Sex"]

  - Stratification 1

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[16, 20]

  - Stratification 2

    - -     AgeInYearsAt(date from
              end of "Measurement Period"
            )in Interval[21, 24]

### Functions

- - Global.HasEnd(period Interval<DateTime>)

    - -     not (
              end of period is null
                or
                end of period = maximum DateTime
            )

  - Global.Latest(period Interval<DateTime>)

    - -     if ( HasEnd(period)) then
            end of period
              else start of period

  - Global.LatestOf(pointInTime DateTime, period Interval<DateTime>)

    - -     Latest(NormalizeInterval(pointInTime, period))

  - Global.NormalizeInterval(pointInTime DateTime, period Interval<DateTime>)

    - -     if pointInTime is not null then Interval[pointInTime, pointInTime]
              else if period is not null then period
              else null as Interval<DateTime>

### Terminology

- code "Discharge to healthcare facility for hospice care (procedure)" ("SNOMEDCT Code (428371000124100)")
- code "Discharge to home for hospice care (procedure)" ("SNOMEDCT Code (428361000124107)")
- code "Female" ("AdministrativeGender Code (F)")
- code "Have you ever had vaginal intercourse [PhenX]" ("LOINC Code (64728-9)")
- code "Hospice care [Minimum Data Set]" ("LOINC Code (45755-6)")
- code "Yes (qualifier value)" ("SNOMEDCT Code (373066001)")
- valueset "Chlamydia Screening" (2.16.840.1.113883.3.464.1003.110.12.1052)
- valueset "Complications of Pregnancy, Childbirth and the Puerperium" (2.16.840.1.113883.3.464.1003.111.12.1012)
- valueset "Contraceptive Medications" (2.16.840.1.113883.3.464.1003.196.12.1080)
- valueset "Diagnoses Used to Indicate Sexual Activity" (2.16.840.1.113883.3.464.1003.111.12.1018)
- valueset "Diagnostic Studies During Pregnancy" (2.16.840.1.113883.3.464.1003.111.12.1008)
- valueset "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307)
- valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
- valueset "HIV" (2.16.840.1.113883.3.464.1003.120.12.1003)
- valueset "Home Healthcare Services" (2.16.840.1.113883.3.464.1003.101.12.1016)
- valueset "Hospice Care Ambulatory" (2.16.840.1.113883.3.526.3.1584)
- valueset "Hospice Diagnosis" (2.16.840.1.113883.3.464.1003.1165)
- valueset "Hospice Encounter" (2.16.840.1.113883.3.464.1003.1003)
- valueset "Isotretinoin" (2.16.840.1.113883.3.464.1003.196.12.1143)
- valueset "Lab Tests During Pregnancy" (2.16.840.1.113883.3.464.1003.111.12.1007)
- valueset "Lab Tests for Sexually Transmitted Infections" (2.16.840.1.113883.3.464.1003.110.12.1051)
- valueset "Office Visit" (2.16.840.1.113883.3.464.1003.101.12.1001)
- valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
- valueset "Online Assessments" (2.16.840.1.113883.3.464.1003.101.12.1089)
- valueset "Pap Test" (2.16.840.1.113883.3.464.1003.108.12.1017)
- valueset "Payer" (2.16.840.1.114222.4.11.3591)
- valueset "Pregnancy Test" (2.16.840.1.113883.3.464.1003.111.12.1011)
- valueset "Preventive Care Services Established Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1025)
- valueset "Preventive Care Services Initial Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1023)
- valueset "Preventive Care Services, Initial Office Visit, 0 to 17" (2.16.840.1.113883.3.464.1003.101.12.1022)
- valueset "Preventive Care, Established Office Visit, 0 to 17" (2.16.840.1.113883.3.464.1003.101.12.1024)
- valueset "Procedures Used to Indicate Sexual Activity" (2.16.840.1.113883.3.464.1003.111.12.1017)
- valueset "Race" (2.16.840.1.114222.4.11.836)
- valueset "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080)
- valueset "XRay Study" (2.16.840.1.113883.3.464.1003.198.12.1034)

### Data Criteria (QDM Data Elements)

- "Assessment, Performed: Have you ever had vaginal intercourse [PhenX]" using "Have you ever had vaginal intercourse [PhenX] (LOINC Code 64728-9)"
- "Assessment, Performed: Hospice care [Minimum Data Set]" using "Hospice care [Minimum Data Set] (LOINC Code 45755-6)"
- "Diagnosis: Complications of Pregnancy, Childbirth and the Puerperium" using "Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012)"
- "Diagnosis: Diagnoses Used to Indicate Sexual Activity" using "Diagnoses Used to Indicate Sexual Activity (2.16.840.1.113883.3.464.1003.111.12.1018)"
- "Diagnosis: HIV" using "HIV (2.16.840.1.113883.3.464.1003.120.12.1003)"
- "Diagnosis: Hospice Diagnosis" using "Hospice Diagnosis (2.16.840.1.113883.3.464.1003.1165)"
- "Diagnostic Study, Order: Diagnostic Studies During Pregnancy" using "Diagnostic Studies During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1008)"
- "Diagnostic Study, Order: XRay Study" using "XRay Study (2.16.840.1.113883.3.464.1003.198.12.1034)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"
- "Encounter, Performed: Home Healthcare Services" using "Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016)"
- "Encounter, Performed: Hospice Encounter" using "Hospice Encounter (2.16.840.1.113883.3.464.1003.1003)"
- "Encounter, Performed: Office Visit" using "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
- "Encounter, Performed: Online Assessments" using "Online Assessments (2.16.840.1.113883.3.464.1003.101.12.1089)"
- "Encounter, Performed: Preventive Care Services Established Office Visit, 18 and Up" using "Preventive Care Services Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025)"
- "Encounter, Performed: Preventive Care Services Initial Office Visit, 18 and Up" using "Preventive Care Services Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023)"
- "Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 17" using "Preventive Care Services, Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022)"
- "Encounter, Performed: Preventive Care, Established Office Visit, 0 to 17" using "Preventive Care, Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024)"
- "Encounter, Performed: Telephone Visits" using "Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080)"
- "Intervention, Order: Hospice Care Ambulatory" using "Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584)"
- "Intervention, Performed: Hospice Care Ambulatory" using "Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584)"
- "Laboratory Test, Order: Lab Tests During Pregnancy" using "Lab Tests During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1007)"
- "Laboratory Test, Order: Lab Tests for Sexually Transmitted Infections" using "Lab Tests for Sexually Transmitted Infections (2.16.840.1.113883.3.464.1003.110.12.1051)"
- "Laboratory Test, Order: Pap Test" using "Pap Test (2.16.840.1.113883.3.464.1003.108.12.1017)"
- "Laboratory Test, Order: Pregnancy Test" using "Pregnancy Test (2.16.840.1.113883.3.464.1003.111.12.1011)"
- "Laboratory Test, Performed: Chlamydia Screening" using "Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052)"
- "Medication, Active: Contraceptive Medications" using "Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080)"
- "Medication, Order: Contraceptive Medications" using "Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080)"
- "Medication, Order: Isotretinoin" using "Isotretinoin (2.16.840.1.113883.3.464.1003.196.12.1143)"
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: Female" using "Female (AdministrativeGender Code F)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"
- "Procedure, Performed: Procedures Used to Indicate Sexual Activity" using "Procedures Used to Indicate Sexual Activity (2.16.840.1.113883.3.464.1003.111.12.1017)"

### Supplemental Data Elements

- SDE Ethnicity

  - -     ["Patient Characteristic Ethnicity": "Ethnicity"]

- SDE Payer

  - -     ["Patient Characteristic Payer": "Payer"]

- SDE Race

  - -     ["Patient Characteristic Race": "Race"]

- SDE Sex

  - -     ["Patient Characteristic Sex": "ONC Administrative Sex"]

### Risk Adjustment Variables

- None

Measure Set |
    None