-
cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax%20Post%20Exposure%20Prophylaxis%20Implementation%20Guide%20v2.0%2020190607.pdf
June 07, 2019 - reactions. … Based on the type and severity of a previous
allergic reaction, the clinician might want to consider … There is a
reminder to ask about allergies to assess the type and severity of the allergic reaction … Verify
completeness
“confirm allergy
status”
The provider should evaluate all allergies to determine … Based on the type and
severity of the allergic reaction, the antimicrobial
might not be absolutely
-
cds.ahrq.gov/sites/default/files/cds/artifact/686/Clostridium%20difficile%20(C.diff)%20Infection%20Treatment%20Pathway_updated%20March%202019.pdf
June 20, 2019 - tapered regimen
after completing therapy for fulminant CDI
Not fulminant YES, Fulminant
Intolerance/allergy … to oral vancomycin
Intolerance/allergy to oral vancomycin
RECURRENT CDI?
-
cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax_Post_Exposure_Prophylaxis_CDS_Validation_Report.pdf
October 17, 2018 - If the patient has no allergies, then this Flag resource will
be empty. … If the patient has no allergies to latex, then this Flag
resource will be empty. … 0.40
Must sum
to 1.0
Allergy transition probability: ciprofloxacin allergy 0.15
Allergy transition … probability: doxycycline allergy 0.15
Allergy transition probability: levofloxacin allergy 0.15 … Allergy transition probability: BioThrax® allergy 0.10
Allergy transition probability: latex allergy
-
cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - considerations surrounding the provision of medication recommendations based on cardiovascular risk:
· Allergy … this may pose implementation challenges given current reality.
· Sophisticated systems would embed allergy
-
cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - and exceptions should stop the CDS from presenting any interventions, with the exception of statin allergy … Allergies are very rare and side effects can usually be discussed and worked through with the patient
-
cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· Aspirin use to prevent cardiovascular disease:
· Consider allergy as additional exclusion.
· Consider
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation_Guide_Statin_Therapy_CVD_eCQM_0.pdf
September 01, 2022 - eCQM Denominator Exceptions:
• Patients with statin-associated muscle symptoms or an allergy to statin … 3 times the normal limit)
OR ESRD
OR receiving palliative or hospice care
OR adverse effect, allergy … eCQM measure states that the denominator excepts patients
with statin-associated muscle symptoms or allergy … The CQL logic is unchanged from v4 and
still contains adverse effects, allergies, and intolerances. … A value set for muscle symptoms
was added and the adverse effects, allergies, and intolerances value
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation_Guide_Statin_Therapy_CVD_eCQM.pdf
September 01, 2022 - eCQM Denominator Exceptions:
• Patients with statin-associated muscle symptoms or an allergy to statin … 3 times the normal limit)
OR ESRD
OR receiving palliative or hospice care
OR adverse effect, allergy … eCQM measure states that the denominator excepts patients
with statin-associated muscle symptoms or allergy … The CQL logic is unchanged from v4 and
still contains adverse effects, allergies, and intolerances. … A value set for muscle symptoms
was added and the adverse effects, allergies, and intolerances value
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/2023_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2023 - Individuals who have an allergy to statin, are receiving palliative or hospice care, who have
active … eCQM Denominator Exceptions:
• Patients with statin-associated muscle symptoms or an allergy to statin … 3 times the normal limit)
OR ESRD
OR receiving palliative or hospice care
OR adverse effect, allergy … The CQL logic is unchanged from
v5; it still contains adverse effects, allergies, and intolerances. … A value set for muscle
symptoms was added; the adverse effects, allergies, and intolerances value set
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Updated statin allergy value set to include combination drugs
containing statins. … Individuals who have an allergy to statin, are receiving palliative or hospice care, who have
active … period.
15
eCQM Denominator Exceptions:
• Patients with statin-associated muscle symptoms or an allergy … eCQM measure states that the denominator excepts
patients with statin-associated muscle symptoms or allergy … The CQL value set and logic
differ in that they contain adverse effects, allergies, and intolerances
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - Exclusions that were considered, but not included in CDS logic at this time
Consider completeness
Statin allergy … physicians felt that providers should determine if a statin is withheld based on these concepts, since allergies … Consider completeness
Statin allergy and intolerance
Cholesterol Management Work Group physicians felt … that providers should determine if a statin is withheld based on these concepts, since allergies and
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final.pdf
January 01, 2020 - Patient has allergy or intolerance to aspirin.
g. … currently receiving aspirin (at any dose)
OR ordered for or receiving palliative care
18
OR aspirin allergy … Verify
Completeness Exclusion: aspirin allergy
Aspirin should not be prescribed to an individual
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final_2.pdf
April 01, 2021 - Patient has allergy or intolerance to aspirin.
g. … currently receiving aspirin (at any dose)
OR ordered for or receiving palliative care
19
OR aspirin allergy … Verify
Completeness Exclusion: aspirin allergy
Aspirin should not be prescribed to an individual
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2023_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2023 - Patient has allergy or intolerance to aspirin.
g. … currently receiving aspirin (at any dose)
OR ordered for or receiving palliative care
OR aspirin allergy … Verify
completeness
Exclusion: aspirin allergy Aspirin should not be prescribed to an individual
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Patient has allergy or intolerance to aspirin.
g. … currently receiving aspirin (at any dose)
OR ordered for or receiving palliative care
14
OR aspirin allergy … Verify
completeness
Exclusion: aspirin allergy Aspirin should not be prescribed to an individual
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM%20Artifact.pdf
April 01, 2021 - counted in the denominator or numerator when determining
performance on the measure.2
Individuals with allergy … Denominator Exceptions:
Patients with adverse effect, allergy, or intolerance to statin medication. … breastfeeding OR breastfeeding observation within the past year
21
OR rhabdomyolysis
OR adverse effect, allergy
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2020_508.pdf
January 01, 2020 - Identified Standards
or Formats
Description
NIH National Institute of Allergy and
Infectious Disease … Consensus Statements, Practice-related
Resources, Coding and Reimbursement
American College of Allergy … American College of Allergy, Asthma, and
Immunology
https://acaai.org/allergies
Practice Resources … – Allergies
Yes Variable Undetermined Allergy resources include: Types of
Allergies, Allergy Treatments … Disorders)
P
(Cardiovascular System)
Health System No Yes No No No
Immune System No Yes P
(Allergy
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
October 01, 2017 - Patient has allergy or intolerance to aspirin.
g. Patient has less than 10-year life expectancy.
h. … Verify Completeness
Exclusion: Aspirin Allergy
ASA should not be prescribed to an individual that
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - Individuals with allergy or intolerance to statin medications, who are receiving palliative care, who … DENOMINATOR EXCEPTIONS:
Patients with adverse effect, allergy, or intolerance to statin medication.
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2023_508.pdf
January 01, 2023 - Dawei Lin, PhD (Division of Allergy, Immunology, and
Transplantation, NIAID, NIH), and the members of … premier source of
drug interaction data; provides detailed information on drug/drug, drug/disease,
drug/allergy … National Drug Data File
NGC National Guideline Clearinghouse™
NIAID NIH National Institute of Allergy