Chlamydia Screening for Women

Last updated: October 25, 2017

CMS Measure ID: CMS153v6
Version: 6
NQF Number: 0033
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 Patient Population:

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

Denominator Statement:

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 who were in hospice care during the measurement year.

Numerator Statement:

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
Domain: Community/Population Health
Previous Version: Chlamydia Screening for Women
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.

Addendum Notes: Value Set content updated Sept 2017

Specifications

Release Notes

Header

  • ​Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • ​Updated Copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • ​Updated Disclaimer.

    Measure Section: Disclaimer

    Source of Change: Measure Lead

  • Added language to the Guidance to clarify how patient-reported information regarding procedures and diagnostic studies should be documented for calculation of the measure.

    Measure Section: Guidance

    Source of Change: JIRA (CQM-1739)

  • ​Updated the exclusion statement in the header to exclude patients in hospice care from the Denominator. Measures that focus on screenings and procedures may not be appropriate or a priority for those who are at end of life (ie, on hospice).

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

Logic

  • Added logic to the Initial Population to include women who respond yes to a question about sexual activity as an additional way to identify a sexually active woman.

    Measure Section: Initial Population

    Source of Change: JIRA (CQM-2206)

  • Added new lines of logic to the Denominator Exclusions for all NCQA-stewarded measures (except CMS82) to ensure patients in hospice care are excluded from the Denominator.

    Measure Section: Denominator Exclusions

    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.

  • Added new value set Sexually Active (2.16.840.1.113883.3.464.1003.121.12.1040). Value set contains 1 LOINC code (64728-9).

    Measure Section: QDM Data Elements

    Source of Change: JIRA (CQM-2206)

  • Added new value set Yes Response (2.16.840.1.113883.3.464.1003.122.12.1050). Value set contains 1 SNOMED code (373066001).

    Measure Section: QDM Data Elements

    Source of Change: JIRA (CQM-2206)

  • Value set Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052): Added 7 LOINC codes (80360-1, 80361-9, 80362-7, 80363-5, 80364-3, 80365-0, 80367-6).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Pregnancy Test (2.16.840.1.113883.3.464.1003.111.12.1011): Added 2 LOINC codes (80384-1, 80385-8).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001): Deleted 5 SNOMEDCT codes (186932009, 239785008, 239808004, 415141001, 67224007). Added 21 ICD10CM codes and deleted 25 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Added 1 SNOMEDCT code (713251003) and deleted 1 SNOMEDCT code (70983007).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Chlamydia (2.16.840.1.113883.3.464.1003.112.12.1003): Deleted 2 ICD10CM codes (A74.89, A74.9).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Added 3 SNOMEDCT codes (186242002, 713454009, 74181004) and deleted 1 SNOMEDCT code (402338004). Added 6 ICD10CM codes (A55, A56.19, A56.2, A56.3, A56.4, A56.8).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 14 LOINC codes.

    Measure Section: QDM Data Elements

    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 2 SNOMEDCT codes (200074009, 200080001). Added 2 ICD9CM codes (649.81, 649.82). Added 513 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 5 RXNORM codes (1099639, 1368974, 748866, 749568, 762812).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307): Added Encounter Inpatient.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15): Added Hospice care ambulatory.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Health Care Facility for Hospice Care (2.16.840.1.113883.3.117.1.7.1.207): Added Discharged to Health Care Facility for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Home for Hospice Care (2.16.840.1.113883.3.117.1.7.1.209): Added Discharged to Home for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052): Deleted 17 LOINC codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009): Added 4 SNOMEDCT codes (713117007, 713120004, 714812005, 716100006).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001): Added 13 SNOMEDCT codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Added 7 SNOMEDCT codes (238669003, 402338004, 717697005, 717723007, 721591008, 721592001, 722830001).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 5 LOINC codes (24993-8, 37603-8, 39100-3, 39101-1, 43464-7).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 1 SNOMEDCT code (199094009). Added 40 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 4 RXNORM codes (1366343, 197679, 204407, 197680).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

External Resources