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["Patient Characteristic, Sex": "Federal Administrative Sex"]

Performance/Reporting Period
2026
Value Set Description from VSAC
Clinical Focus: SNOMED CT representations of sex values aligned with US federal administrative requirements across all systems, including quality measure use
Data Element Scope: Patient characteristics
Inclusion Criteria: Limited set of SNOMED CT representations of sex values.
Exclusion Criteria: n/a

Constrained to codes in the Federal Administrative Sex value set (2.16.840.1.113762.1.4.1021.121)

QDM Datatype and Definition

"Patient Characteristic, Sex"

Data elements that meet criteria using this datatype should document that the patient's sex matches the QDM category and its corresponding value set.

Timing: Birth (administrative) sex does not have a specific timing.

eCQMs using this data element:
CMS1017v2 - Hospital Harm - Falls with Injury
CMS1028v4 - Severe Obstetric Complications
CMS104v14 - Discharged on Antithrombotic Therapy
CMS1056v3 - Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level)
CMS1074v3 - Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility IQR)
CMS108v14 - Venous Thromboembolism Prophylaxis
CMS1154v1 - Screening for Abnormal Glucose Metabolism in Patients at Risk of Developing Diabetes
CMS1157v2 - HIV Annual Retention in Care
CMS1173v1 - Diagnostic Delay of Venous Thromboembolism in Primary Care
CMS117v14 - Childhood Immunization Status
CMS1188v3 - Sexually Transmitted Infection (STI) Testing for People with HIV
CMS1206v3 - Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility OQR)
CMS1218v2 - Hospital Harm - Postoperative Respiratory Failure
CMS122v14 - Diabetes: Glycemic Status Assessment Greater Than 9%
CMS124v14 - Cervical Cancer Screening
CMS125v14 - Breast Cancer Screening
CMS128v14 - Antidepressant Medication Management
CMS129v15 - Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
CMS130v14 - Colorectal Cancer Screening
CMS131v14 - Diabetes: Eye Exam
CMS133v14 - Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
CMS135v14 - Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
CMS136v15 - Follow-Up Care for Children Prescribed ADHD Medication
CMS137v14 - Initiation and Engagement of Substance Use Disorder Treatment
CMS138v14 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS139v14 - Falls: Screening for Future Fall Risk
CMS142v14 - Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
CMS143v14 - Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
CMS144v14 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
CMS145v14 - Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%)
CMS146v14 - Appropriate Testing for Pharyngitis
CMS149v14 - Dementia: Cognitive Assessment
CMS153v14 - Chlamydia Screening in Women
CMS154v14 - Appropriate Treatment for Upper Respiratory Infection (URI)
CMS155v14 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
CMS156v14 - Use of High-Risk Medications in Older Adults
CMS157v14 - Oncology: Medical and Radiation - Pain Intensity Quantified
CMS159v14 - Depression Remission at Twelve Months
CMS165v14 - Controlling High Blood Pressure
CMS177v14 - Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
CMS190v14 - Intensive Care Unit Venous Thromboembolism Prophylaxis
CMS22v14 - Preventive Care and Screening Screening for High Blood Pressure and Follow Up Documented
CMS2v15 - Preventive Care and Screening: Screening for Depression and Follow-Up Plan
CMS314v3 - HIV Viral Suppression
CMS334v7 - Cesarean Birth
CMS347v9 - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS349v8 - HIV Screening
CMS506v8 - Safe Use of Opioids - Concurrent Prescribing
CMS50v14 - Closing the Referral Loop: Receipt of Specialist Report
CMS529v6 - Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission Measure with Claims and Electronic Health Record Data - HWR
CMS56v14 - Functional Status Assessment for Total Hip Replacement
CMS645v9 - Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy
CMS646v6 - Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder Cancer
CMS68v15 - Documentation of Current Medications in the Medical Record
CMS69v14 - Preventive Care and Screening Body Mass Index (BMI) Screening and Follow Up Plan
CMS71v15 - Anticoagulation Therapy for Atrial Fibrillation/Flutter
CMS72v14 - Antithrombotic Therapy by End of Hospital Day 2
CMS74v15 - Primary Caries Prevention Intervention as Offered by Dentists
CMS75v14 - Children Who Have Dental Decay or Cavities
CMS771v7 - Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia
CMS816v5 - Hospital Harm - Severe Hypoglycemia
CMS819v4 - Hospital Harm - Opioid-Related Adverse Events
CMS826v3 - Hospital Harm - Pressure Injury
CMS832v3 - Hospital Harm - Acute Kidney Injury
CMS844v6 - Core Clinical Data Elements for the Hybrid Hospital-Wide All-Condition All-Procedure Risk-Standardized Mortality Measure - HWM
CMS871v5 - Hospital Harm - Severe Hyperglycemia
CMS90v15 - Functional Status Assessments for Heart Failure
CMS951v4 - Kidney Health Evaluation
CMS986v5 - Malnutrition Care Score
CMS996v6 - Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)