This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
Measure Title | Cervical Cancer Screening | Measure ID | EXM124 |
Description | |||
Measurement Period | January 1 - December 31 | ||
Copyright and Disclaimer Notice | |||
Clinical Recommendation Statement | |||
References | |||
Characteristics | |||
Scoring | Proportion | ||
Type | Process | ||
Improvement Notation | A higher rate indicates better performance. | ||
Guidance | |||
Definitions |
Patient.gender = 'female' and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[23, 64] and exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")
exists "Pap Test Within 3 Years" or exists "Pap Test With HPV Within 5 Years"
"Initial Population"
Hospice."Has Hospice"("Measurement Period") or exists "Surgical Absence of Cervix" or exists "Absence of Cervix"
[Condition : "Congenital absence of cervix (disorder)"] NoCervixBirth where NoCervixBirth.onset as FHIR.dateTime before end "Measurement Period" and NoCervixBirth.clinicalStatus = 'active'
"Initial Population"
Hospice."Has Hospice"("Measurement Period") or exists "Surgical Absence of Cervix" or exists "Absence of Cervix"
Patient.gender = 'female' and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[23, 64] and exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")
exists "Pap Test Within 3 Years" or exists "Pap Test With HPV Within 5 Years"
"PapTest Within 5 Years" PapTestOver30YearsOld with [Observation: "HPV Test"] HPVTest such that HPVTest.value is not null and ( HPVTest.effective starts 1 day or less before or on day of start of Global."Get Choice Interval - dateTime or Period"(PapTestOver30YearsOld.effective) or HPVTest.effective starts less than 1 day after or on day of start of Global."Get Choice Interval - dateTime or Period"(PapTestOver30YearsOld.effective) ) and HPVTest.status in { 'final', 'amended', 'corrected', 'preliminary' }
[Observation: "Pap Test"] PapTest where PapTest.value is not null and PapTest.status in { 'final', 'amended', 'corrected', 'preliminary' }
"Pap Test with Results" PapTest where PapTest.effective 3 years or less before end of "Measurement Period"
( "Pap Test with Results" PapTestOver30YearsOld where Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of Global."Get Choice Interval - dateTime or Period"(PapTestOver30YearsOld.effective))>= 30 and PapTestOver30YearsOld.effective 5 years or less before end of "Measurement Period" )
SDE."SDE Ethnicity"
SDE."SDE Payer"
SDE."SDE Race"
SDE."SDE Sex"
[Procedure: "Hysterectomy with No Residual Cervix"] NoCervixHysterectomy where NoCervixHysterectomy.performed ends before end "Measurement Period" and NoCervixHysterectomy.status = 'completed'
SDE."SDE Ethnicity"
SDE."SDE Payer"
SDE."SDE Race"
SDE."SDE Sex"