Thank you for your inquiry for CMS124v12 (2024 Performance Period). Self-reporting is acceptable given that HPV Test report is documented in an EHR, approved for entry by the provider, using any of the codes found in the value set "HPV Test" (OID: 2.16.840.1.113883.3.464.1003.110.12.1059), has a non-null result, and is performed within the required timeframe. Please review the measure specification logic/terminology section for detailed data requirements (see snippet below).
HPV Test Within 5 Years for Women Age 30 and Older
["Laboratory Test, Performed": "HPV Test"] HPVTest
where AgeInYearsAt(date from Global."LatestOf"(HPVTest.relevantDatetime, HPVTest.relevantPeriod))>= 30
and Global."LatestOf" ( HPVTest.relevantDatetime, HPVTest.relevantPeriod ) during day of Interval[start of "Measurement Period" - 4 years,
end of "Measurement Period"]
and HPVTest.result is not null
If you have questions about understanding measure requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center:
https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs.