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Chlamydia Screening for Women

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Measure Information 2021 Performance Period
CMS eCQM ID CMS153v9
NQF Number Not Applicable
Description

Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period
Initial Population

Women 16 to 24 years of age 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 and who had an x-ray or an order for a specified medication within 7 days of the pregnancy test.

Exclude patients whose hospice care overlaps the measurement period.
Numerator

Women with at least one chlamydia test during the measurement period
Numerator Exclusions

Not Applicable
Denominator Exceptions

None
Measure Steward National Committee for Quality Assurance
Quality Domain Community/Population Health
Measure Scoring Proportion measure
Measure Type Process measure
Improvement Notation

Higher score indicates better quality
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.

Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
MIPS Quality ID 310
Meaningful Measure Preventive Care
Telehealth Eligible Yes
Next Version
CMS153v10
Previous Version No Version Available

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Measure Information 2021 Performance Period 2022 Performance Period 2023 Performance Period
Title Chlamydia Screening for Women Chlamydia Screening for Women Chlamydia Screening in Women
CMS eCQM ID CMS153v9 CMS153v10 CMS153v11
NQF Number Not Applicable Not Applicable Not Applicable
Description

Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period

Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period

Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period
Initial Population

Women 16 to 24 years of age who are sexually active and who had a visit in the measurement period

Women 16 to 24 years of age who are sexually active and who had a visit in the measurement period

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

Equals Initial Population

Equals Initial Population
Denominator Exclusions Women who are only eligible for the initial population due to a pregnancy test and who had an x-ray or an order for a specified medication within 7 days of the pregnancy test. Exclude patients whose hospice care overlaps the measurement period. Women who are only eligible for the initial population due to a pregnancy test and who had an order for an x-ray or for a specified medication within 7 days of the pregnancy test. Exclude patients who are in hospice care for any part of the measurement period. Women who are only eligible for the initial population due to a pregnancy test and who had an order for an x-ray or for a specified medication within 7 days of 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

Women with at least one chlamydia test during the measurement period

Women with at least one chlamydia test during the measurement period
Numerator Exclusions

Not Applicable

Not Applicable

Not Applicable
Denominator Exceptions

None

None

None
Measure Steward National Committee for Quality Assurance National Committee for Quality Assurance National Committee for Quality Assurance
Quality Domain Community/Population Health Community/Population Health Community/Population Health
Measure Scoring Proportion measure Proportion measure Proportion measure
Measure Type Process measure Process measure Process measure
Improvement Notation

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality
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.

Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

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.

Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

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 QDM page for more information on the QDM.
MIPS Quality ID 310 310 310
Meaningful Measure Preventive Care Preventive Care Preventive Care
Telehealth Eligible Yes Yes Yes
Next Version CMS153v10 CMS153v11 No Version Available
Previous Version No Version Available
CMS153v9
CMS153v10
Download XML
Download CSV
Specifications
Attachment Size
CMS153v9.html 71.18 KB
CMS153v9.zip 79.64 KB
CMS153v9-TRN.xlsx 22.31 KB

Data Element Repository

Value Sets
Value Sets to be used with CMS153v9

Release Notes

CMS153v9-TRN.xlsx

Header

  • Updated eCQM Version Number.

    Measure Section: eMeasure Version Number

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • ​Updated the rationale to remove outdated references and content and to update references.

    Measure Section: Rationale

    Source of Change: Annual Update

  • Updated references.

    Measure Section: Reference

    Source of Change: Annual Update

  • Added text to identify the Quality Data Model (QDM) version used in the measure specification.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Added text to indicate whether the measure is patient-based or episode-based.

    Measure Section: Guidance

    Source of Change: Standards Update

Logic

  • Updated timing logic for the follow-up assessment to use 'in Interval' to simplify logic and promote harmonization between measures.

    Measure Section: Definition

    Source of Change: Measure Lead

  • Clinical Quality Language (CQL) Library version update: Updated version number of the Hospice Library (Hospice-2.2.000).

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009): Deleted 1 SNOMED CT code (387708002) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001): Deleted 1 SNOMED CT code 415141001 based on terminology update. Deleted 56 ICD-9-CM codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Deleted 68 ICD-9-CM codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 1092 ICD-9-CM codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 5 RxNorm codes (1435163, 1437769, 199568, 245263, 749862) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other Female Reproductive Conditions (2.16.840.1.113883.3.464.1003.111.12.1006): Deleted 1 SNOMED CT code (391147004) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Deleted 10 SNOMED CT codes (15363000, 32701000, 37649008, 40113007, 45022008, 47132003, 54672007, 59211000, 717723007, 95220008) based on terminology update. Deleted 31 ICD-9-CM codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 1 LOINC code (36926-4) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Deleted 15 SNOMED CT codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

Last Updated: Aug 29, 2022