-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - definitions are sufficient, so concept
definitions have been removed
- CQL retrieves now support codes … These changes include the following:
- Codes: Removed Familial hypercholesterolemia reference code since … : added Discharge to healthcare facility for hospice care (procedure)
- Codes: added Discharge to home … for hospice care (procedure)
- Codes: added Hospice care [Minimum Data Set]
- Codes: added Yes (qualifier … for hospice care (procedure)
- Codes: added Hospice care [Minimum Data Set]
- Codes: added Yes (qualifier
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log.txt
January 01, 2024 - the previous version:
- Replace "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes … value set "Low intensity statin therapy" 2.16.840.1.113883.3.526.3.1574
(currently expands to same codes … set "Moderate intensity statin therapy" 2.16.840.1.113883.3.526.3.1575
(currently expands to same codes … value set "High intensity statin therapy" 2.16.840.1.113883.3.526.3.1572
(currently expands to same codes … definitions are sufficient, so concept
definitions have been removed
- CQL retrieves now support codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2024 - the previous version:
- Replace "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes … value set "Low intensity statin
therapy" 2.16.840.1.113883.3.526.3.1574 (currently expands to same codes … set "Moderate intensity statin
therapy" 2.16.840.1.113883.3.526.3.1575 (currently expands to same codes … definitions are sufficient, so
concept definitions have been removed
- CQL retrieves now support codes … the previous version:
- Replace "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Logical
Object Identifier Names and
Codes (LOINC) codes do not
currently exist. … MITRE submitted applications for
LOINC codes to be assigned. … standard codes are not
currently available. … with the standard codes. … If codes are not available for the express need of a concept, developers are
forced to use local codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Data_Requirements_T2DM_Part_One.xlsx
January 01, 2024 - DSTU2/valueset-condition-clinical.html)
onsetDateTime or onsetPeriod or dateRecorded Mixed (2 single codes … 2.16.840.1.113762.1.4.1032.85
Polycystic ovarian syndrome Condition code
verificationStatus is 'confirmed' Mixed (2 single codes … issued (to determine most recent)
status is ‘final’ or ‘amended’
valueCodeableConcept Mixed (2 single codes … fhir/R4/valueset-condition-clinical.html)
onsetDateTime or onsetPeriod or recordedDate Mixed (2 single codes … (see http://hl7.org/fhir/R4/valueset-observation-status.html)
valueCodeableConcept Mixed (2 single codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_Data_Requirements_T2DM_Part_Two_0.xlsx
January 01, 2024 - fhir/DSTU2/valueset-observation-status.html)
valueQuantity with 'mg/dL' or 'mmol/L' units Two LOINC Codes … 4548-4
Polycystic ovarian syndrome Condition code
verificationStatus is 'confirmed' Mixed (2 single codes … issued (to determine most recent)
status is ‘final’ or ‘amended’
valueCodeableConcept Mixed (2 single codes … org/fhir/R4/valueset-observation-status.html)
valueQuantity with 'mg/dL' or 'mmol/L' units Two LOINC Codes … (see http://hl7.org/fhir/R4/valueset-observation-status.html)
valueCodeableConcept Mixed (2 single codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide Attempt value set
- Added LOINC codes … for the Pain intensity, Enjoyment of life, General
activity scale [PEG]
- Previous local codes are … still supported (but discouraged)
- Added logic to normalize long LOINC display text for PEG codes to … 2.16.840.1.113762.1.4.1021.95
- Replace "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10
codes … 2.16.840.1.113762.1.4.1021.95
- Replace "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10
codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-09/Million_Hearts_Baseline_10_Year_ASCVD_Risk_Change_Log.txt
January 01, 2021 - following additional changes from the DSTU2 version:
- Uses US Core v4.0.0 Race extension and associated codes … / value sets
- Uses US Core v4.0.0 Smokingstatus profile and associated codes / value sets
- Uses FHIR … definitions are sufficient, so
concept definitions have been removed
- CQL retrieves now support codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - A response of
“yes” or “no” is expressed using SNOMED-CT codes. … A response of “yes” or “no” is expressed using SNOMED-CT
codes. … A response of “yes” or
“no” is expressed using SNOMED-CT codes. … A response of “yes” or “no” is
expressed using SNOMED-CT codes. … A response of “yes”
or “no” is expressed using SNOMED-CT codes.
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
January 01, 2024 - from age 40 to age 35
- Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes … following additional changes from the DSTU2 version:
- Uses US Core v4.0.0 Race extension and associated codes … / value sets
- Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets
The following … from age 40 to age 35
- Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart2Counseling_Change_Log.txt
January 01, 2024 - from age 40 to age 35
- Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes … following additional changes from the DSTU2 version:
- Uses US Core v4.0.0 Race extension and associated codes … / value sets
- Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets
The following … from age 40 to age 35
- Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
November 06, 2020 - workflow
Skills
Someone who can check mapping medications, laboratory orders, and diagnosis codes … to local codes
Skills
Someone who understands the clinical content
Skills
Time – Clinician
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - should be defined as ‘pure’ or ‘familial’ in the eCQM artifact, along with the associated diagnosis codes … patient condition and determines that a diagnosis of atherosclerosis and PAD is appropriate, these codes … This has been removed, along with other sub-clinical codes.
· QIP did not use the original NCQA value … (One system has specified codes for GI bleed and ulcers, not UGI pain)
· Could use epigastric or regional … pain diagnosis’ and high level ‘bleeding disorder’ codes, but that will only get us so far
· From their
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - Upon further investigation, MTIRE identified SNOMED-CT codes that might represent this intent. … way to evaluate for the single ICD-10 code and the value set OID which includes a list of SNOMED-CT codes … however the CAMH team realized during pilot testing that there are also non-essential, non-secondary HTN codes … CAMH presented a list of codes and lab tests available on the LOINC website. … Several codes are appropriate for inclusion, but the team asked if the WG felt that the following code
-
cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· All work group members in attendance voiced concern about effective use of codes that correspond … revised during the annual update based on provider feedback.
· Rhabdomyolysis as an exclusion
· All codes … If active, then all codes in the value set should be excluded.
· If past/resolved, then no need to exclude … large opportunity to over or under capture appropriate contraindications when trying to select distinct codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - 2.16.840.1.113762.1.4.1032.9
Test Result
Pilot site clinicians utilize a broader range of ICD-10 codes … Several of the utilized codes were not included in the initial value set. … Note: I16 codes were not added to the value set since they need to be paired with an I10-I15 code for … Codes that express a diagnosis are found within ICD-9, ICD-10, SNOMED-CT, and LOINC terminologies as … that in choosing such values, it is still important to stay within the intent of the guideline; thus, codes
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - In the interim, organizations can map relevant HbA1c LOINC codes to the
current definition (4548-4) … may elect to create a
value set comprised of those codes.
2. … The b.well pilot team identified valid
ICD-9-CM codes that also represent gestational diabetes. … As a result, the
published coded expression now includes all relevant standard terminology codes that … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - In the interim, organizations can map relevant HbA1c LOINC codes to the
current definition (4548-4) … may elect to create a
value set comprised of those codes.
2. … The b.well pilot team identified valid
ICD-9-CM codes that also represent gestational diabetes. … As a result, the
published coded expression now includes all relevant standard terminology codes that … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - In the interim, organizations can map relevant HbA1c LOINC codes to the
current definition (4548-4) … may elect to create a
value set comprised of those codes.
2. … The b.well pilot team identified valid
ICD-9-CM codes that also represent gestational diabetes. … As a result, the
published coded expression now includes all relevant standard terminology codes that … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - In the interim, organizations can map relevant HbA1c LOINC codes to the
current definition (4548-4) … may elect to create a
value set comprised of those codes.
2. … The b.well pilot team identified valid
ICD-9-CM codes that also represent gestational diabetes. … As a result, the
published coded expression now includes all relevant standard terminology codes that … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the