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Chlamydia Screening for Women

CMS Measure ID
CMS153v8
Version
8
NQF Number
Not Applicable
Measure 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 Statement
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 Statement

Women with at least one chlamydia test during the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Previous Version
Measure Scoring
Measure Type
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.

Quality ID
310
Meaningful Measure

Specifications

Attachment Size
CMS153v8.html 65.5 KB
CMS153v8.zip 77.54 KB
CMS153v8-TRN.xlsx 22.01 KB

Release Notes

 

Header

  • Updated eCQM version number.

    Measure Section: eCQM Version number

    Source of Change: Measure Lead

  • Updated NQF number to 'Not Applicable.'

    Measure Section: NQF Number

    Source of Change: Standards Update

  • Updated endorsed by field to 'None.'

    Measure Section: Endorsed By

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated references to align with American Psychological Association (APA) style.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated parenthetical citations to align with American Psychological Association (APA) style.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

 

Logic

  • Updated authorDatetime logic in 'Pregnancy Test Exclusion Definition' to occur 7 days or less on or after day of Pregnancy test.

    Measure Section: Definitions

    Source of Change: Measure Lead

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

    Measure Section: Definitions and Functions

    Source of Change: Standards Update

  • Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Hospice Library (Hospice-2.0.000).

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000).

    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 Delivery Live Births (2.16.840.1.113883.3.464.1003.111.12.1015): Deleted 116 SNOMED CT codes. Added ICD-10-PCS extensional value set (2.16.840.1.113883.3.464.1003.198.11.1146) including 10 codes.

    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 (186932009).

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Added 1 SNOMED CT code (735515000).

    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): Added 14 ICD-10-CM codes and deleted 1 ICD-10-CM code (O86.0). Added 3 SNOMED CT codes (91948008, 769087009, 765182005) and deleted 25 SNOMED CT codes.

    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): Added 4 SNOMED CT codes (39591000119109, 707577004, 712584009, 712585005) and deleted 2 SNOMED CT codes (415168001, 415168001).

    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 6 SNOMED CT codes (186242002, 19372002, 198212006, 198220008, 403482003, 54275000).

    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): Added 37 LOINC codes.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Added 54 SNOMED CT codes and deleted 1 SNOMED CT code (79019005).

    Measure Section: Terminology

    Source of Change: Annual Update

  • Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable.

    Measure Section: Terminology

    Source of Change: Annual Update

  • ​Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance.

    Measure Section: Terminology

    Source of Change: Standards Update

  • Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Oct 10, 2019