Brief Description of Measure:

CMS124: Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:

• Women age 21-64 who had cervical cytology performed within the last 3 years

• Women age 30-64 who had cervical human papillomavirus (HPV) testing performed within the last 5 years

CMS125: Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period

CMS153: Chlamydia Screening for Women

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

CMS249: Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Percentage of female patients 50 to 64 years of age without select risk factors for osteoporotic fracture who received an order for a dual-energy x-ray absorptiometry (DXA) scan during the measurement period

Description of Issue:
The indicated measures currently use the Female value set (2.16.840.1.113883.3.560.100.2), which is a single-code value set and can be replaced by a direct reference code.
As eCQM Logic and Guidance v5 (May 2021) Section 5.3 states, "the use of direct reference codes prevents using an alternative identifier for a code system concept and eliminates additional implementation work to unpack the value set".

Proposed Solution:

Since the Female value set (2.16.840.1.113883.3.560.100.2) only contains a single specific code, it can be referenced directly within the measure specifications as a direct reference code.

As such, we plan to remove the use of value set Female (2.16.840.1.113883.3.560.100.2) and replace it with the code "F" for "Female" from code system "AdministrativeGender".

CURRENT:
valueset "Female" (2.16.840.1.113883.3.560.100.2)

PROPOSED:
code "Female": 'F' from "AdministrativeGender" display 'Female'

Rationale for Change:

The goal of this change is to adhere to value set best practices.