|Submitted By: Raymonde Uy / National Association of Community Health Centers (NACHC)|
|Data Element Information|
|Use Case Description(s)|
|Use Case Description||The Use Case for sexual health and activity is to best identify patients at risk for STIs and unintended pregnancy and to appropriately engage patients in ongoing sexual screening and contraceptive services. This is important for primary and preventive care as well as for both research and public health use cases.
Note: *eCQM Data Element “Assessment, Performed: Sexually Active” is limited to vaginal intercourse, and does not capture or include sexual activity data elements that are related to sexually transmitted infections secondary to sexual activity aside from vaginal intercourse.
|Estimated number of stakeholders capturing, accessing using or exchanging||Most healthcare institutions caring for sexually-transmitted conditions and all federally qualified health centers (FQHCs) gather data about sexual activity. This encompasses, in 2019, 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. The evaluation of social determinants of health, however, should be considered a required component of a patient-centered, value-based approach to care and therefore should be potentially relevant for any patient or care setting.|
|Maturity of Use and Technical Specifications for Data Element|
|Applicable Standard(s)||SNOMED CT: (Parent code and all children codes in the hierarchy)
414254005 - Finding of frequency of sexual activity (finding)
162171002 - Currently not sexually active (finding)
228453005 - Sexually active (finding)
64728-9 - Have you ever had vaginal intercourse [PhenX]
Montana's Department of Public Health and Human Services (DPHHS) includes SNOMED CT codes in their “Adolescent Wellness” Registry, addressing the “STI Screening” measure, together with the “Chlamydia Screening in Women” measure.
|Current Use||Extensively used in production environments|
|Number of organizations/individuals with which this data element has been electronically exchanged||5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.|
|Restrictions on Standardization (e.g. proprietary code)||None|
|Restrictions on Use (e.g. licensing, user fees)||None|
|Privacy and Security Concerns||This information can be seen as 'sensitive' information.|
|Estimate of Overall Burden||Minimal|
Information from the submission form
Information on the sexual activity of the patient