CervicalCancerScreeningFHIR.json

{
  "resourceType": "Measure",
  "id": "CervicalCancerScreeningFHIR",
  "meta": {
    "versionId": "8",
    "lastUpdated": "2021-08-17T12:35:34.000-06:00",
    "source": "#mZZrUMbvgAWavQXA",
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "language": "en",
  "contained": [ {
    "resourceType": "Library",
    "id": "effective-data-requirements",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
        "code": "laboratory",
        "display": "Laboratory"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/version/201709",
        "code": "428361000124107",
        "display": "Discharge to home for hospice care (procedure)"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/version/201709",
        "code": "428371000124100",
        "display": "Discharge to healthcare facility for hospice care (procedure)"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://loinc.org",
        "code": "71007-9",
        "display": "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
        "code": "survey",
        "display": "survey"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Sex"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Sex\":\n  case\n      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n      else null\n    end"
      }, {
        "url": "displaySequence",
        "valueInteger": 0
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Sex"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
      }, {
        "url": "displaySequence",
        "valueInteger": 1
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Cervical Cytology Within 3 Years"
      }, {
        "url": "statement",
        "valueString": "define \"Cervical Cytology Within 3 Years\":\n  [Observation: \"Pap Test\"] CervicalCytology\n    where CervicalCytology.status in { 'final', 'amended', 'corrected' }\n      and exists ( CervicalCytology.category CervicalCytologyCategory\n          where \"laboratory\" in FHIRHelpers.ToConcept ( CervicalCytologyCategory ).codes\n      )\n      and Global.\"Latest\" ( CervicalCytology.effective ) 3 years or less on or before end of \"Measurement Period\"\n      and CervicalCytology.value is not null"
      }, {
        "url": "displaySequence",
        "valueInteger": 2
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "HPV Test Within 5 Years for Women Age 30 and Older"
      }, {
        "url": "statement",
        "valueString": "define \"HPV Test Within 5 Years for Women Age 30 and Older\":\n  [Observation: \"HPV Test\"] HPVTest\n    where HPVTest.status in { 'final', 'amended', 'corrected' }\n      and exists ( HPVTest.category HPVTestCategory\n          where \"laboratory\" in FHIRHelpers.ToConcept ( HPVTestCategory ).codes\n      )\n      and AgeInYearsAt(date from start of Global.\"Normalize Interval\"(HPVTest.effective))>= 30\n      and Global.\"Latest\" ( HPVTest.effective ) 5 years or less on or before end of \"Measurement Period\"\n      and HPVTest.value is not null"
      }, {
        "url": "displaySequence",
        "valueInteger": 3
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Numerator"
      }, {
        "url": "statement",
        "valueString": "define \"Numerator\":\n  exists \"Cervical Cytology Within 3 Years\"\n              or exists \"HPV Test Within 5 Years for Women Age 30 and Older\""
      }, {
        "url": "displaySequence",
        "valueInteger": 4
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Qualifying Encounters"
      }, {
        "url": "statement",
        "valueString": "define \"Qualifying Encounters\":\n  ( [Encounter: \"Office Visit\"]\n              union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n              union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n              union [Encounter: \"Home Healthcare Services\"]\n              union [Encounter: \"Telephone Visits\"]\n              union [Encounter: \"Online Assessments\"] ) ValidEncounter\n              where ValidEncounter.status = 'finished'\n                and ValidEncounter.period during \"Measurement Period\""
      }, {
        "url": "displaySequence",
        "valueInteger": 5
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Initial Population"
      }, {
        "url": "statement",
        "valueString": "define \"Initial Population\":\n  AgeInYearsAt(date from start of \"Measurement Period\")in Interval[23, 64 )\n              and Patient.gender = 'female'\n              and exists \"Qualifying Encounters\""
      }, {
        "url": "displaySequence",
        "valueInteger": 6
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Denominator"
      }, {
        "url": "statement",
        "valueString": "define \"Denominator\":\n  \"Initial Population\""
      }, {
        "url": "displaySequence",
        "valueInteger": 7
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Payer"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }"
      }, {
        "url": "displaySequence",
        "valueInteger": 8
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Payer"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
      }, {
        "url": "displaySequence",
        "valueInteger": 9
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Ethnicity"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Ethnicity\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
      }, {
        "url": "displaySequence",
        "valueInteger": 10
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Ethnicity"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
      }, {
        "url": "displaySequence",
        "valueInteger": 11
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "HospiceFHIR4"
      }, {
        "url": "name",
        "valueString": "Has Hospice"
      }, {
        "url": "statement",
        "valueString": "define \"Has Hospice\":\n  exists (\n                [Encounter: \"Encounter Inpatient\"] DischargeHospice\n            \t\t\twhere DischargeHospice.status = 'finished'\n            \t\t    and (\n            \t        DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n            \t\t\t\t    or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n            \t    \t)\n            \t\t\t\tand Global.\"Normalize Interval\"(DischargeHospice.period) ends during \"Measurement Period\"\n            \t)\n                or exists (\n                  [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n                    where HospiceOrder.status in {'active', 'completed'} \n                    and HospiceOrder.intent = 'order'\n                        and Global.\"Normalize Interval\"(HospiceOrder.authoredOn) during \"Measurement Period\"\n                )\n                or exists (\n                  [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n                    where HospicePerformed.status = 'completed'\n                      and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n                )"
      }, {
        "url": "displaySequence",
        "valueInteger": 12
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Absence of Cervix"
      }, {
        "url": "statement",
        "valueString": "define \"Absence of Cervix\":\n  ( [Procedure: \"Hysterectomy with No Residual Cervix\"] NoCervixProcedure\n                where NoCervixProcedure.status = 'completed'\n                  and Global.\"Normalize Interval\" ( NoCervixProcedure.performed ) ends on or before\n                  end of \"Measurement Period\"\n            )\n              union ( [Condition: \"Congenital or Acquired Absence of Cervix\"] NoCervixDiagnosis\n                  where Global.\"Prevalence Period\" ( NoCervixDiagnosis ) starts on or before\n                    end of \"Measurement Period\"\n              )"
      }, {
        "url": "displaySequence",
        "valueInteger": 13
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PalliativeCareFHIR"
      }, {
        "url": "name",
        "valueString": "Palliative Care in the Measurement Period"
      }, {
        "url": "statement",
        "valueString": "define \"Palliative Care in the Measurement Period\":\n  exists ( [Observation: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"] PalliativeAssessment\n              where PalliativeAssessment.status in { 'final', 'amended', 'corrected' }\n                and exists ( PalliativeAssessment.category PalliativeAssessmentCategory\n                    where \"survey\" in FHIRHelpers.ToConcept ( PalliativeAssessmentCategory ).codes\n                )\n                and Global.\"Normalize Interval\" ( PalliativeAssessment.effective ) overlaps \"Measurement Period\"\n          )\n            or exists ( [Encounter: \"Palliative Care Encounter\"] PalliativeEncounter\n                where PalliativeEncounter.status = 'finished'\n                  and Global.\"Normalize Interval\" ( PalliativeEncounter.period ) overlaps \"Measurement Period\"\n            )\n            or exists ( [Procedure: \"Palliative Care Intervention\"] PalliativeIntervention\n                where PalliativeIntervention.status in { 'completed', 'in-progress' }\n                  and Global.\"Normalize Interval\" ( PalliativeIntervention.performed ) overlaps \"Measurement Period\"\n            )"
      }, {
        "url": "displaySequence",
        "valueInteger": 14
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "Denominator Exclusions"
      }, {
        "url": "statement",
        "valueString": "define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice\"\n              or exists \"Absence of Cervix\"\n              or PalliativeCare.\"Palliative Care in the Measurement Period\""
      }, {
        "url": "displaySequence",
        "valueInteger": 15
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Race"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Race\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
      }, {
        "url": "displaySequence",
        "valueInteger": 16
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "CervicalCancerScreeningFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Race"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
      }, {
        "url": "displaySequence",
        "valueInteger": 17
      } ]
    } ],
    "status": "active",
    "type": {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "module-definition"
      } ]
    },
    "relatedArtifact": [ {
      "type": "depends-on",
      "display": "Library SDE",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElementsFHIR4|2.0.000"
    }, {
      "type": "depends-on",
      "display": "Library FHIRHelpers",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.0.001"
    }, {
      "type": "depends-on",
      "display": "Library Global",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctionsFHIR4|6.1.000"
    }, {
      "type": "depends-on",
      "display": "Library Hospice",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/HospiceFHIR4|2.3.000"
    }, {
      "type": "depends-on",
      "display": "Library PalliativeCare",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/PalliativeCareFHIR|0.6.000"
    }, {
      "type": "depends-on",
      "display": "Code system ObservationCategoryCodes",
      "resource": "http://terminology.hl7.org/CodeSystem/observation-category"
    }, {
      "type": "depends-on",
      "display": "Code system SNOMEDCT:2017-09",
      "resource": "http://snomed.info/sct|http://snomed.info/sct/version/201709"
    }, {
      "type": "depends-on",
      "display": "Code system LOINC",
      "resource": "http://loinc.org"
    }, {
      "type": "depends-on",
      "display": "Value set Pap Test",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017"
    }, {
      "type": "depends-on",
      "display": "Value set HPV Test",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059"
    }, {
      "type": "depends-on",
      "display": "Value set Office Visit",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
    }, {
      "type": "depends-on",
      "display": "Value set Home Healthcare Services",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
    }, {
      "type": "depends-on",
      "display": "Value set Telephone Visits",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080"
    }, {
      "type": "depends-on",
      "display": "Value set Online Assessments",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089"
    }, {
      "type": "depends-on",
      "display": "Value set Payer",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
    }, {
      "type": "depends-on",
      "display": "Value set Encounter Inpatient",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
    }, {
      "type": "depends-on",
      "display": "Value set Hospice care ambulatory",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
    }, {
      "type": "depends-on",
      "display": "Value set Hysterectomy with No Residual Cervix",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014"
    }, {
      "type": "depends-on",
      "display": "Value set Congenital or Acquired Absence of Cervix",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1016"
    }, {
      "type": "depends-on",
      "display": "Value set Palliative Care Encounter",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090"
    }, {
      "type": "depends-on",
      "display": "Value set Palliative Care Intervention",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135"
    } ],
    "parameter": [ {
      "name": "Measurement Period",
      "use": "in",
      "min": 0,
      "max": "1",
      "type": "Period"
    }, {
      "name": "SDE Sex",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Coding"
    }, {
      "name": "Numerator",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "Denominator",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Payer",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Any"
    }, {
      "name": "Initial Population",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Ethnicity",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    }, {
      "name": "Denominator Exclusions",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Race",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    } ],
    "dataRequirement": [ {
      "type": "Patient",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
      "mustSupport": [ "url", "extension", "value" ]
    }, {
      "type": "Observation",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
      "mustSupport": [ "code", "status", "category", "effective", "value" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017"
      } ]
    }, {
      "type": "Observation",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
      "mustSupport": [ "code", "status", "category", "effective", "value" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059"
      } ]
    }, {
      "type": "Observation",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
      "mustSupport": [ "code", "status", "category", "effective" ],
      "codeFilter": [ {
        "path": "code",
        "code": [ {
          "system": "http://loinc.org",
          "code": "71007-9",
          "display": "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"
        } ]
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
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      "reference": "Device/cqf-tooling"
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  "url": "http://ecqi.healthit.gov/ecqms/Measure/CervicalCancerScreeningFHIR",
  "identifier": [ {
    "use": "official",
    "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/guid",
    "value": "2138c351-1c17-4298-aebc-43b42b1aa1ba"
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    "use": "official",
    "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/cms",
    "value": "124FHIR"
  } ],
  "version": "0.0.005",
  "name": "CervicalCancerScreeningFHIR",
  "title": "Cervical Cancer ScreeningFHIR",
  "status": "draft",
  "experimental": false,
  "date": "2022-07-05T20:34:35-06:00",
  "publisher": "National Committee for Quality Assurance",
  "contact": [ {
    "telecom": [ {
      "system": "url",
      "value": "https://cms.gov"
    } ]
  } ],
  "description": "Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:\n*  Women age 21-64 who had cervical cytology performed within the last 3 years\n*  Women age 30-64 who had cervical human papillomavirus (HPV) testing performed within the last 5 years",
  "purpose": "Unknown",
  "copyright": "This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2020 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2020 American Medical Association. LOINC(R) copyright 2004-2020 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2020 International Health Terminology Standards Development Organisation. ICD-10 copyright 2020 World Health Organization. All Rights Reserved.",
  "effectivePeriod": {
    "start": "2022-01-01",
    "end": "2022-12-31"
  },
  "library": [ "http://ecqi.healthit.gov/ecqms/Library/CervicalCancerScreeningFHIR" ],
  "disclaimer": "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.\n \nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].",
  "scoring": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "code": "proportion",
      "display": "Proportion"
    } ]
  },
  "type": [ {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-type",
      "code": "process"
    } ]
  } ],
  "rationale": "All women are at risk for cervical cancer. In 2020, an estimated 13,800 women were diagnosed with cervical cancer in the U.S., resulting in an estimated 4,290 deaths (National Cancer Institute, 2020). Screening can identify precancerous lesions and can detect invasive cancer early, when treatment is more likely to be successful (American Cancer Society, 2020).",
  "clinicalRecommendationStatement": "US Preventive Services Task Force (USPSTF) (2018) \"The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting) (A recommendation)\"\n\n\"The USPSTF recommends against screening for cervical cancer in women older than 65 years who have had adequate prior screening and are not otherwise at high risk for cervical cancer. (D recommendation)\"\n\n\"The USPSTF recommends against screening for cervical cancer in women younger than 21 years. (D recommendation)\"\n\n\"The USPSTF recommends against screening for cervical cancer in women who have had a hysterectomy with removal of the cervix and do not have a history of a high-grade precancerous lesion (ie, cervical intraepithelial neoplasia [CIN] grade 2 or 3) or cervical cancer. (D recommendation)\"",
  "improvementNotation": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "code": "increase"
    } ]
  },
  "guidance": "To ensure the measure is only looking for a cervical cytology test only after a woman turns 21 years of age, the youngest age in the initial population is 23.\n\nPatient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1.\n\nEvidence of hrHPV testing within the last 5 years also captures patients who had cotesting; therefore additional methods to identify cotesting are not necessary.\n\nThis eCQM is a patient-based measure.\n\nThis FHIR-based measure has been derived from the QDM-based measure: CMS124v10.",
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}