HEDIS® Implementation Guide

HEDIS Implementation Guide, published by National Committee for Quality Assurance. This is not an authorized publication; it is the continuous build for version null). This version is based on the current content of https://github.com/cqframework/hedis-ig/ and changes regularly. See the Directory of published versions


Cervical Cancer Screening Screening (CCS) Measure

Measure Description

The percentage of women 21–64 years of age who were screened for cervical cancer using either of the following criteria:

  • Women 21–64 years of age who had cervical cytology performed every 3 years.
  • Women 30–64 years of age who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years.

Measurement Period

January 1 – December 31 of the measurement year.

Population Definitions

Initial Population

Women 24-64 years as of December 31 of the measurement year.

Denominator

The initial population.

Numerator

The number of women who were screened for cervical cancer, as identified in steps 1 and 2 below.

  • **Step 1:** Identify women 24–64 years of age as of December 31 of the measurement year who had cervical cytology (Cervical Cytology Value Set) during the measurement year or the two years prior to the measurement year.
  • **Step 2:** From the women who did not meet step 1 criteria, identify women 30–64 years of age as of December 31 of the measurement year who had cervical cytology (Cervical Cytology Value Set) and a human papillomavirus (HPV) test (HPV Tests Value Set) with service dates four or less days apart during the measurement year or the four years prior to the measurement year and who were 30 years or older on the date of both tests. For example, if the service date for cervical cytology was December 1 of the measurement year, then the HPV test must include a service date on or between November 27 and December 5 of the measurement year.

Terminology

ValueSet Resources

  • “Absence of Cervix Value Set (2.16.840.1.113883.3.464.1004.1123.17)”
  • “Cervical Cytology Value Set (2.16.840.1.113883.3.464.1004.1208)”
  • “HPV Tests Value Set (2.16.840.1.113883.3.464.1004.1265)”
  • “Female (2.16.840.1.113883.3.464.1004.1457)”
  • “Male (2.16.840.1.113883.3.464.1004.1458)”

Content

Resource Type Description
library-ccs-logic Library CQL Library defining the data requirements to support the evaluation of the CCS Meaure
CQL Source Code
measure-ccs Measure FHIR Measure resource defining the structured, computable definition of the CCS Measure

Example Data/Requests

Description Patient Data Request Expected Response
lorem ipsum   .../Measure/measure-ccs/$evaluate-measure/...