Thank you for your inquiry about CMS130v11, Colorectal Cancer Screening. Please note that although guidance was removed in regards to self-reporting, this measure allows for self report. Self-reported screenings may count towards the numerator when performed within the measurement period and/or within the time frame indicated. This measure's QDM datatypes listed below use the attributes "relevantPeriod" which pulls in the start and end time of a period and "relevantDatetime which pulls in the point in time. A date/time should be documented in the EHR. Self-reported screenings are accepted if the information is documented in a structured field in the EHR, approved for entry by the provider. Please see details below regarding documentation required of the reporting provider to meet each measure's numerator requirements. For CMS130v11, applicable screenings to meet the numerator criteria may include fecal occult blood test, FIT-DNA test, flexible sigmoidoscopy, CT colonography, or a colonoscopy. The applicable screenings mentioned above may count towards the numerator when performed within the required timeframe and documented via QDM datatypes and codes below. A result is not required for the flexible sigmoidoscopy, colonoscopy, or CT colonography to be numerator compliance. A "non-null" result is required using the QDM attribute "result" for screening options such as FOBT and FIT-DNA laboratory tests. A non-null result can be interpreted as a result that is present in the electronic record in which any entry is acceptable; no specific value or code is required. - "Laboratory Test, Performed" using a code from "Fecal Occult Blood Test (FOBT)" value set (2.16.840.1.113883.3.464.1003.198.12.1011)" - "Laboratory Test, Performed" using a code from "FIT DNA" value set (2.16.840.1.113883.3.464.1003.108.12.1039) - "Procedure, Performed" using a code from "Flexible Sigmoidoscopy" value set (2.16.840.1.113883.3.464.1003.198.12.1010) - "Diagnostic Study, Performed" using a code from "CT Colonography" value set (2.16.840.1.113883.3.464.1003.108.12.1038) - "Procedure, Performed" using a code from "Colonoscopy" value set (2.16.840.1.113883.3.464.1003.108.12.1020) For additional guidance on reading/reporting eCQM specifications, please refer to the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=0 .

The eCQM specification for 2022 indicates that self-reported colonoscopies are numerator compliant. The wording is no longer present in the 2023 eCQM narrative. We would like to confirm that self-reported colonoscopies continue to be numerator compliant events for 2023 and 2024. We would also like to know if other numerator events (FIT, FOBT, etc.) may also be self-reported with a documented month and year in the EHR.