CMS124 - Cervical Cancer Screening Configuration

Overview

CMS124v12 (2024)

CMS124v11 (2023)

CMS124v10 (2022)

Clinical Instructions

Ensure all women aged 24-64 are screened for cervical cancer on the following schedule. Beginning at age 21, women should be screened using a Pap Test at least once every 3 years. Alternatively, beginning at age 30, women can be screened using an HPV Test at least once every 5 years. Laboratory screening tests will be recorded as observations with results either manually entered or received from a laboratory interface.

For detailed information on the recommended workflow please click here.

Compliance Configuration

Numerator compliance requires either an appropriately coded Pap Test observation or an appropriately coded HPV Test observation. The observation name is not important for compliance, the only requirement is that the LOINC code on the observation code is in one of the following value sets.

Pap Test (2.16.840.1.113883.3.464.1003.108.12.1017)

LOINC Description
10524-7 Microscopic observation [Identifier] in Cervix by Cyto stain
18500-9 Microscopic observation [Identifier] in Cervix by Cyto stain.thin prep
19762-4 General categories [Interpretation] of Cervical or vaginal smear or scraping by Cyto stain
19764-0 Statement of adequacy [Interpretation] of Cervical or vaginal smear or scraping by Cyto stain
19765-7 Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain
19766-5 Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain Narrative
19774-9 Cytology study comment Cervical or vaginal smear or scraping Cyto stain
33717-0 Cervical AndOr vaginal cytology study
47527-7 Cytology report of Cervical or vaginal smear or scraping Cyto stain.thin prep
47528-5 Cytology report of Cervical or vaginal smear or scraping Cyto stain

HPV Test (2.16.840.1.113883.3.464.1003.110.12.1059)

LOINC Description
21440-3 Human papilloma virus 16+18+31+33+35+45+51+52+56 DNA [Presence] in Cervix by Probe
30167-1 Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+68 DNA [Presence] in Cervix by Probe with signal amplification
38372-9 Human papilloma virus 6+11+16+18+31+33+35+39+42+43+44+45+51+52+56+58+59+68 DNA [Presence] in Cervix by Probe with signal amplification
59263-4 Human papilloma virus 16 DNA [Presence] in Cervix by Probe with signal amplification
59264-2 Human papilloma virus 18 DNA [Presence] in Cervix by Probe with signal amplification
59420-0 Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by Probe with signal amplification
69002-4 Human papilloma virus E6+E7 mRNA [Presence] in Cervix by NAA with probe detection
71431-1 Human papilloma virus 31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection
75694-0 Human papilloma virus 18+45 E6+E7 mRNA [Presence] in Cervix by NAA with probe detection
77379-6 Human papilloma virus 16 and 18 and 31+33+35+39+45+51+52+56+58+59+66+68 DNA [Interpretation] in Cervix
77399-4 Human papilloma virus 16 DNA [Presence] in Cervix by NAA with probe detection
77400-0 Human papilloma virus 18 DNA [Presence] in Cervix by NAA with probe detection
82354-2 Human papilloma virus 16 and 18+45 E6+E7 mRNA [Identifier] in Cervix by NAA with probe detection
82456-5 Human papilloma virus 16 E6+E7 mRNA [Presence] in Cervix by NAA with probe detection
82675-0 Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection
95539-3 Human papilloma virus 31 DNA [Presence] in Cervix by NAA with probe detection

Source(s)

eCQI CMS124

Revision History

Date Description
09/05/2024 Initial document creation

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