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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Presentation.pdf
January 01, 2022 - CDS has evolved
since 2016
• Close out the CDS Connect work group
3
CDS Connect as a Proof-of-Concept … CDS Connect as a Proof-of-Concept
• ACHIEVED! … ahrq.hhs.gov
18
June 2022 CDS Connect Work Group Call
Agenda
Objectives
CDS Connect as a Proof-of-Concept … CDS Connect as a Proof-of-Concept
Celebrating CDS Connect and Changes in Clinical Decision Support
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Enhancements made to align with the CDC guideline
Clinical Concept Concern and Enhancement Comments … Therefore,
including the concept in CDS logic
would likely generate interventions
that are not … This is a challenging
clinical concept to evaluate across
other organizations also. … to express the concept, lessening the interoperability of the final coded
artifact. … Caution is required when evaluating this concept.
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Data_Requirements_T2DM_Part_One.xlsx
January 01, 2024 - It provides details about each clinical concept included in the CDS expression (e.g., the FHIR DSTU2 … attributes required by the logic, the standard terminologies and/or value sets used to define each concept … It provides details about each clinical concept included in the CDS expression (e.g., the FHIR R4 attributes … required by the logic, the standard terminologies and/or value sets used to define each concept).
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_Data_Requirements_T2DM_Part_Two_0.xlsx
January 01, 2024 - It provides details about each clinical concept included in the CDS expression (e.g., the FHIR DSTU2 … attributes required by the logic, the standard terminologies and/or value sets used to define each concept … It provides details about each clinical concept included in the CDS expression (e.g., the FHIR R4 attributes … required by the logic, the standard terminologies and/or value sets used to define each concept).
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
January 01, 2024 - It provides details about each clinical concept included in the CDS expression (e.g., the FHIR attributes … required by the logic, the standard terminologies and/or value sets used to define each concept). … It provides details about each clinical concept included in the CDS expression (e.g., the FHIR attributes … required by the logic, the standard terminologies and/or value sets used to define each concept).
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-09/Million_Hearts_Baseline_10_Year_ASCVD_Risk_Change_Log.txt
January 01, 2021 - the CQL spec and tooling:
- URL-based value set identifiers are used rather than plain OIDs
- code/concept … pairs are no longer needed; code definitions are sufficient, so
concept definitions have been removed
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
January 01, 2024 - Updated CQL value set declarations to use full URLs rather than OIDs
- Where possible, removed CQL Concept … the CQL spec and tooling:
- URL-based value set identifiers are used rather than plain OIDs
- code/concept … pairs are no longer needed; code definitions are sufficient, so
concept definitions have been removed
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart2Counseling_Change_Log.txt
January 01, 2024 - Updated CQL value set declarations to use full URLs rather than OIDs
- Where possible, removed CQL Concept … the CQL spec and tooling:
- URL-based value set identifiers are used rather than plain OIDs
- code/concept … pairs are no longer needed; code definitions are sufficient, so
concept definitions have been removed
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - HL7 FHIR R4 artifact, and
updated the semistructured representation of the artifact
in Appendix A, concept … Semistructured Logic Concept Definitions ............................................................ … by clinical concept. … Concept Definitions from the Semistructured Logic
Table 2 provides definitions of many of the terms … Semistructured Logic Concept Definitions
Location in
CDS Logic Concept Definition and/or Rationale
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log.txt
January 01, 2024 - Use canonical URL representation of value sets instead of bare OID representation
- Remove use of CQL concept … the
CQL spec and tooling:
- URL-based value set identifiers are used rather than plain OIDs
- code/concept … pairs are no longer needed; code definitions are sufficient, so concept
definitions have been removed
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Concept Definition Decision Log ..................................................................... … If a clinical concept in the semistructured artifact cannot be expressed
using existing value sets, … to provide clarity on what each logic concept means and
why it was expressed as listed. … Concept Definition Decision Log
Concept Definition and/or Rationale
“for the primary
prevention” … Artifact Development Decision Log
Decision
Category
Concept Rationale
Add explanation Revisions
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - ................................................................................................ 19
Concept … Concept Definition Decision Log ..................................................................... … If a clinical concept in the semistructured artifact cannot be expressed using
existing value sets, … Concept Definition Decision Log
Concept Definition and/or Rationale
“facilitate” Enable unlimited … Artifact Development Decision Log
Decision Category Concept Rationale
Reconcile multiple
guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_Data_Requirements_Healthy_Diet_and_Physical_Activity.xlsx
January 01, 2024 - It provides details about each clinical concept included in the CDS expression (e.g., the FHIR DSTU2 … attributes required by the logic, the standard terminologies and/or value sets used to define each concept … It provides details about each clinical concept included in the CDS expression (e.g., the FHIR R4 attributes … required by the logic, the standard terminologies and/or value sets used to define each concept).
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - Concept Definition Decision Log ..................................................................... … by
clinical concept. … Concept Definition Decision Log
Location in
CDS Logic Concept Definition and/or Rationale
Inclusions … Per a USPSTF SME, this
concept is appropriately defined as a diagnosis of IGT, as opposed to one or … Artifact Development Decision Log
Decision Category Concept Rationale
Add explanation Revisions to
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - ................................................................................................ 14
Concept … Concept Definition Decision Log ..................................................................... … or hospice care
OR statin-associated muscle symptoms
OR already receiving a statin medication
Concept … Concept Definition Decision Log
Location in
CDS Logic Concept Definition and/or Rationale
All populations … Artifact Development Decision Log
Decision Category Concept Rationale
Select guidelines Age >75 The
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - ................................................................................................ 23
Concept … Concept Definition Decision Log ..................................................................... … by
clinical concept. … Concept Definition Decision Log
Location in
CDS Logic Concept Definition and/or Rationale
Inclusions … Artifact Development Decision Log
Decision Category Concept Rationale
Add explanation Revisions to
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - ............................................................................................... 18
Concept … Concept Definition Decision Log ..................................................................... … If a clinical
concept in the semistructured artifact cannot be expressed using existing value sets, … Concept Definition Decision Log
Concept Definition and/or Rationale
“updated” To occur after preventive … Artifact Development Decision Log
Decision Category Concept Rationale
Reconcile
multiple
guidelines
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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Summary.pdf
January 01, 2022 - SUMMARY
Presenters reviewed the project’s accomplishments over the last six years, from proof of concept … Her review of CDS Connect’s accomplishments was broken into three phases of progress: the
proof of concept … Ed Lomotan
is hopeful that the CDS community is embracing this concept—citing multiple patient-centered
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2024 - Use canonical URL representation of value sets instead of bare OID representation
- Remove use of CQL concept … the CQL spec and tooling:
- URL-based value set identifiers are used rather than plain OIDs
- code/concept … pairs are no longer needed; code definitions are sufficient, so
concept definitions have been removed
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - ................................................................................................ 17
Concept … Concept Definition Decision Log ..................................................................... … Concept Definition Decision Log
Location in
CDS Logic Concept Definition and/or Rationale
Inclusions … https://jamanetwork.com/journals/jama/fullarticle/2584058
20
Location in
CDS Logic Concept Definition … This concept is included in the
logic as an alternative way to identify an ESRD diagnosis because the