Chlamydia Screening for Women | eCQI Resource Center

Measure Information	2022 Performance Period
CMS eCQM ID	CMS153v10
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 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
Numerator Exclusions	Not Applicable
Denominator Exceptions	None
Measure Steward	National Committee for Quality Assurance
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
Telehealth Eligible	Yes
Next Version	CMS153v11
Previous Version	CMS153v9

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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
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
Telehealth Eligible	Yes	Yes	Yes
Next Version	CMS153v10	CMS153v11	No Version Available
Previous Version	No Version Available	CMS153v9	CMS153v10

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Specifications

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CMS153v10.html	83.36 KB
CMS153v10.zip	84.15 KB
CMS153v10-TRN.xlsx	20.32 KB

Data Element Repository

Data Elements contained within CMS153v10

Value Sets

Value Sets to be used with CMS153v10

Release Notes

CMS153v10-TRN.xlsx

Header

Updated the eCQM version number.

Measure Section: eCQM Version Number

Source of Change: Annual Update
Updated copyright.

Measure Section: Copyright

Source of Change: Annual Update
Updated the rationale to align with current evidence.

Measure Section: Rationale

Source of Change: Measure Lead
Updated the clinical recommendation statement to align with current clinical recommendations.

Measure Section: Clinical Recommendation Statement

Source of Change: Measure Lead
Revised the denominator exclusions language to reduce ambiguity in the exclusions.

Measure Section: Denominator Exclusions

Source of Change: Measure Lead
Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.

Measure Section: Denominator Exclusions

Source of Change: Measure Lead

Logic

Added online assessments and telephone visits as appropriate encounters based on the increased use of telehealth services.

Measure Section: Initial Population

Source of Change: Measure Lead
Revised the Diagnoses Identifying Sexual Activity definition to improve readability and simplify the logic.

Measure Section: Definitions

Source of Change: Measure Lead
Revised value set names to eliminate hyphens and align with style guide recommendations.

Measure Section: Definitions

Source of Change: Measure Lead
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.

Measure Section: Multiple Sections

Source of Change: Standards Update
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.

Measure Section: Multiple Sections

Source of Change: Standards Update
Updated Hospice CQL Library to version 3.0.000.

Measure Section: Multiple Sections

Source of Change: Measure Lead

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 Lab Tests for Sexually Transmitted Infections (2.16.840.1.113883.3.464.1003.110.12.1051): Added 61 LOINC codes, Deleted 4 LOINC codes (21416-3, 53605-2, 660-1, 73752-8) based on updated evidence in published guidelines, published literature, or from published specialty medical society or group recommendations.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052): Added 1 LOINC code (91860-7) based on terminology update.

Measure Section: Terminology

Source of Change: Annual Update
Value set Lab Tests During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1007): Added 6 LOINC codes (41067-0, 41096-9, 48802-3, 83072-9, 83073-7, 83075-2) based on updated evidence in published guidelines, published literature, or from published specialty medical society or group recommendations. Deleted 11 LOINC codes (33773-3, 34656-9, 34718-7, 45273-0, 45331-6, 45332-4, 64088-8, 64094-6, 42316-0, 46731-6, 48030-1) based on updated evidence in published guidelines, published literature, or from published specialty medical society or group recommendations.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Diagnostic Studies During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1008): Added 7 LOINC codes (11776-2, 11869-5, 42138-8, 42453-1, 76514-9, 80414-6, 80416-1) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Pregnancy Test (2.16.840.1.113883.3.464.1003.111.12.1011): Added 2 LOINC codes (80385-8, 93769-8) based on terminology update.

Measure Section: Terminology

Source of Change: Annual Update
Removed value set Delivery Live Births (2.16.840.1.113883.3.464.1003.111.12.1015) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Added 10 ICD-10-CM codes (O30.131, O30.132, O30.133, O30.139, O34.218, O34.22, O86.0, O99.891, O99.892, O99.893) based on review by technical experts, SMEs, and/or public feedback. Deleted 16 ICD-10-CM codes based on terminology update. Added 1627 SNOMED CT codes based on review by technical experts, SMEs, and/or public feedback. Deleted 52 SNOMED CT codes based on terminology update.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Added 2 RxNorm codes (2396242, 2396253). Deleted 3 RxNorm codes (105510, 198043, 749856) based on terminology update.

Measure Section: Terminology

Source of Change: Annual Update
Removed value set Genital Herpes (2.16.840.1.113883.3.464.1003.110.12.1049) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Other Female Reproductive Conditions (2.16.840.1.113883.3.464.1003.111.12.1006 based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Chlamydia (2.16.840.1.113883.3.464.1003.112.12.1003) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Added 186 LOINC codes based on terminology update. Deleted 2125 LOINC codes based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Added 9 SNOMED CT codes (10755671000119100, 15928141000119107, 72631000119101, 771119002, 771126002, 771127006, 838377003, 840442003, 840498003) based on terminology update.

Measure Section: Terminology

Source of Change: Annual Update
Added value set Diagnoses used to Indicate Sexual Activity (2.16.840.1.113883.3.464.1003.111.12.1018) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Procedures used to Indicate Sexual Activity (2.16.840.1.113883.3.464.1003.111.12.1017) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Online Assessment (2.16.840.1.113883.3.464.1003.101.12.1089) based on change in measure requirements/measure specification.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Carrier of Predominantly Sexually Transmitted Infection (2.16.840.1.113883.3.464.1003.112.11.1023) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead