Chlamydia Screening for Women

Last updated: June 9, 2017

CMS Measure ID: CMS153v5
Version: 5
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

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
Next Version: Chlamydia Screening for Women
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.

Addendum Notes: ICD-10 Value Set addition
Quality ID: 310
High Priority Measure: No
Data Submission Method: EHR
Specialty Measure Set: Obstetrics/Gynecology,Pediatrics

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Clarified the description of the denominator exclusions.

    Section: Denominator Exclusions

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Added a sentence to clarify who was eligible for the denominator exclusion.

    Section: Guidance

    Source: Measure Lead

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Added logic to match the guidance for the denominator exclusion.

    Section: Denominator Exclusions

    Source: JIRA (CQM-850)

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Denominator Exclusions

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Changed value set name from 'AdministrativeSex' to 'AdministrativeGender' to align with code system updates.

    Section: QDM Data Elements

    Source: Code System Update

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Female (2.16.840.1.113883.3.560.100.2): Changed code system from 'AdministrativeSex' to 'AdministrativeGender'.

    Section: QDM Data Elements

    Source: Code System Update

  • Updated age stratification 1 to < 20 to clarify difference between 1st and 2nd stratification.

    Section: Stratification

    Source: Measure Lead

Value Set

  • Value set Chlamydia (2.16.840.1.113883.3.464.1003.112.12.1003): Added 4 SNOMEDCT codes (197172005, 236683007, 237043008, 237106009).

    Section: None

    Source: None

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 3 SNOMEDCT codes (200015003, 200016002, 200026009).

    Section: None

    Source: None

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 8 RXNORM codes (1000373, 1359293, 310226, 311556, 311557, 311558, 315098, 315146).

    Section: None

    Source: None

  • Value set Delivery Live Births (2.16.840.1.113883.3.464.1003.111.12.1015): Added 22 SNOMEDCT codes and deleted 1 SNOMEDCT code (1807002). Added 4 CPT codes (59412, 59414, 59430, 59525).

    Section: None

    Source: None

  • Value set Diagnostic Studies During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1008): Deleted 2 LOINC codes (33182-7, 33183-5).

    Section: None

    Source: None

  • Value set Female (2.16.840.1.113883.3.560.100.2): Changed code system from 'AdministrativeSex' to 'AdministrativeGender'.

    Section: None

    Source: Code System Update

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Added 1 ICD9CM code (079.53). Added 1 ICD10CM code (B97.35).

    Section: None

    Source: None

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Deleted 1 SNOMEDCT code (403481005).

    Section: None

    Source: None

  • Value set Isotretinoin (2.16.840.1.113883.3.464.1003.196.12.1143): Added 2 RXNORM codes (1547561, 1547565).

    Section: None

    Source: None

  • Value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009): Added 33 SNOMEDCT codes.

    Section: None

    Source: None

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Deleted 2 SNOMEDCT codes (186841000, 286882004).

    Section: None

    Source: None

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 45 LOINC codes.

    Section: None

    Source: None

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Added 69 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources