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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log_0.txt
January 01, 2023 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 … measurement since 3-year LDL time window was removed
NOTE: This artifact has not been piloted in a clinical … provide additional guidance for
pregnant patients
NOTE: This artifact has not been piloted in a clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401
-
cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
January 01, 2024 - supports AHRQ’s mission to disseminate and implement patient-centered
outcomes research findings into clinical … practice through CDS.
1 The Publishing Organization Lead is the person tasked with ensuring that
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Evidence-based clinical
practice guideline for deprescribing benzodiazepine receptor agonists.
-
cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_%206-7-2021.pdf
January 01, 2021 - supports AHRQ’s mission to disseminate and implement patient-centered
outcomes research findings into clinical … practice through CDS.
1 The Publishing Organization Lead is the person tasked with ensuring that
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Both systems contribute to AHRQ’s mission of advancing evidence-
based research into clinical practice … Ambulatory practice, with preference for a Federally Qualified Health Center (FQHC)
2. … of the flags implemented to alert the clinician to an entry of potential
concern based on the CDC guidelines … pulled to populate the
Summary and references
• Uniform Resource Locators (URLs): Provides links to guidelines … are intended to draw
the clinician’s attention to an
entry of potential concern,
based on the CDC guidelines
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - influence on trust:
► Evidence-based
− The evidence instantiated within an artifact must apply to the clinical … organizations want and
trust CDS Connect…
• Monitoring and feedback of technical use and impacts on
practice … Ensure Artifact Currency
Update / validate artifacts to ensure they reflect the most recent clinical … guidelines
Ensure that CDS Connect artifacts provide value to the CDS ecosystem
4. … Evidence-based: The evidence instantiated within an artifact must apply to
the clinical condition it
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 … measurement since 3-year LDL time window was removed
NOTE: This artifact has not been piloted in a clinical … provide additional guidance for
pregnant patients
NOTE: This artifact has not been piloted in a clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - CDS Connect Work Group October 2021 Summary
Clinical Decision Support (CDS) Connect Work Group … updating CDS Connect artifacts to use Fast
Healthcare Interoperability Resource (FHIR) version R4 and Clinical … MITRE enhanced the support of Clinical Practice Guidelines (CPG)-on-FHIR, as well as
enabled FHIR server … The Patient-Centered Clinical Decision Support (PCCDS) Learning Network’s Trusted
Use Frameworks Working … Clinical decision support and quality
measurement are closely related; one could imagine a quality measure
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - September 2021 CDS Connect Work Group Meeting Summary
Clinical Decision Support (CDS) Connect … relevant technology available to
the public, including the Health Level Seven International’s (HL7) Clinical … Fast
Healthcare Interoperability Resources (FHIR), Application Programming Interface (API), Drupal,
Clinical … Practice Guidelines (CPG), the Value Set Authority Center (VSAC), and the Unified Medical
Language … Closing
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
September 16, 2021
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cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - · Feedback on value set selection to represent Diagnosis: CVD
· There is no good way to handle sub-clinical … It influences a patient’s risk, but not as much as someone with a clinical event. … The initial version included aortic atherosclerosis, which is a sub-clinical disease. … This has been removed, along with other sub-clinical codes.
· QIP did not use the original NCQA value … not easy to implement, but would be helpful to patients and providers.
· One system displays a best practice
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cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - Identify and Incorporate “Meaningful” New Evidence
• Search for new evidence
► Identify new or updated guidelines … merits a CDS artifact update
• Incorporate new evidence
► Perform a detailed analysis of the proposed clinical … any Value Set (VS) changes
► Revise logic
► Update Implementation Guide including decision logs and clinical … 7
Update and Test Logic Based on New Evidence or VSs
• Clinical concept representation
► Add or replace … informaticist
− (VS whose content changed, but identifier did not, require no changes in logic)
• Clinical
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2023_Intervention_Content_Diet_Activity.xlsx
January 01, 2023 - Connect CQL expression:
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … selected: https://health.gov/about-odphp/quality-guidelines
Specific to the USPSTF Recommendations, … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice
-
cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - )
► Metadata Improvements
► Recommendation Links
► Value Set Authority Center Integration Updates
► Clinical … Authoring Tool: Metadata Improvements
• Added ”Strength of Recommendation” and “Quality of Evidence”
to Clinical … Practice Guideline (CPG) fields
23
CDS Authoring Tool: Recommendation Links
• Optionally add one … Authentication via UMLS API Key
• New streamlined value set selection modal
25
CDS Authoring Tool: Clinical … Recommendation Links
CDS Authoring Tool: Value Set Authority Center Integration Updates
CDS Authoring Tool: Clinical
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/Healthy%20Diet%20and%20Physical%20Activity_Intervention%20Content_1.xlsx
January 01, 2012 - Connect CQL expression:
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice … weight-management/staying-active-at-any-size
It also provides a link to a pdf on “The Physical Activity Guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2022_Intervention_Content_Diet_Activity.xlsx
January 01, 2022 - Connect CQL expression:
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … selected: https://health.gov/about-odphp/quality-guidelines
Specific to the USPSTF Recommendations, … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice
-
cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
January 01, 2021 - CDS Connect Work Group June 2021 Summary
CDS (Clinical Decision Support) Connect Work Group … The CDS artifact targets HL7-standardized
CDS hooks—points in the clinical-care pathway that provide … the app features an auto-populated “After Visit Summary” element that
captures information from the clinical … Support for adding in Strength of Recommendation and Quality of Evidence in the Clinical Practice
Guideline
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Project_Report_09_29_2022.pdf
January 01, 2022 - The research evidence ranges from systematic reviews
and clinical practice recommendations to clinical … AHRQ aims to improve the efficiency of discovering and disseminating evidence-based
resources into practice … CEDAR stands for the AHRQ Center for
Evidence and Practice Improvement (CEPI) Evidence Discovery And … practice through clinical
decision support (CDS). … The AHRQ Center for Evidence and Practice Improvement (CEPI)
maintains public repositories of research
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - disorders, but ultimately this is something that each implementer should review and revise based on their practice … Consider evaluation of the availability of data with this status during testing.
· For clinical status … “Angina”, “IVD”, and several procedures such as CABG, PCI and Carotid Intervention), therefore the Clinical … evaluates shared decision making from a patient’s point of view through a short survey about a patient’s clinical … : Options for Providing CDS Notifications
The work group Chair and AC performed demonstrations of a clinical
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/Abnormal_Glucose_Counseling_Intervention_Content.xlsx
January 01, 2012 - Part 2, Counseling
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice … weight-management/staying-active-at-any-size
It also provides a link to a pdf on “The Physical Activity Guidelines
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/Abnormal_Glucose_Counseling_Intervention_Content_0.xlsx
January 01, 2012 - Part 2, Counseling
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice … weight-management/staying-active-at-any-size
It also provides a link to a pdf on “The Physical Activity Guidelines