-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Instead, the CDS
compiles clinical concepts mentioned throughout the guideline in one consolidated view … The clinical
concepts, concerns, enhancements, and commentary are outlined in Table 3.
Table 3. … MITRE chose to incorporate these
concepts in the following way:
• A new data element was
added … Once standard codes are issued for
the concepts above, future
implementers can update the CDS
logic … Developers can submit applications for codes to be assigned to required concepts.
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cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - · Concepts that should block calculation: age (if age 39 or 80, then don’t calculate) and history of … · Concepts that should not block calculation include lab and BP values.
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - To move forward, the new value set was expanded to include all HTN concepts not related to pregnancy, … Focus on concepts or domains where CDS can make a difference.
0. … part of larger clinical workflows and accountability (just as cholesterol and cardiovascular disease concepts
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - These helped inform how to represent broad concepts (e.g., CVD) and narrower concepts (e.g., breastfeeding … several “disconnects” were identified between how data was captured in Alliance’s EHR and how the data concepts … Observations
Procedures, tests, and Observations that are measured (i.e., gestational age) can be challenging concepts … healthcare organization is likely to have local variations in how they define and capture clinical concepts … A total of 10 concepts were more effectively expressed based on discussions with the pilot organization
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Instead,
the CDS compiles clinical concepts mentioned throughout the guideline in one consolidated view … The
meeting focused on the availability and accuracy of the required concepts within the OCHIN
EHR … This resulted in filtering several clinical concepts to include only data that were
required to display … The updated app included additional filtering for the following
clinical concepts:
• Observations … Order and
Grouping of
Display of
Clinical
Concepts
The order in which the clinical
concepts
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - The artifact presents a patient-specific Pain Management Summary that displays clinical
concepts that … Both concepts are crucial to effective pain management. … Concepts in this category include MME amount, urine drug screen results,
evidence of benzodiazepine … As a result, local codes were initially
used for many of these concepts. … a value set to express these
concepts.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
July 23, 2024 - It includes concepts outlined in the CDC Guideline for Prescribing Opioids for Chronic Pain.
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - with identifying existing value sets or individual
codes that can be used to represent the clinical concepts … Many competing value sets appear to convey the same clinical concepts in VSAC. … These concepts were informed by or derived from text in the evidence-based source.
Table 1. … Implementers might consider representing CVD as a grouped value set
that includes diagnosis and procedure concepts
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - Most agreed that there could be challenges in capturing these concepts. … in ‘average’ clinical settings (vs. large Mayo-like settings), QIP noted that many of the exclusion concepts
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - A value set service and cache for retrieving coded clinical concepts from the National
Library of Medicine … These concepts were informed or derived from text in the recommendation statement. … published on the USPSTF website, along with resources outlining their extensive investigation
into concepts … completeness/
add explanation
ESRD, ESRD
encounter, dialysis,
dependence on
dialysis
These concepts … As mentioned previously in
other decision log entries, each of these concepts represent different ways
-
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 - with the identification of existing value sets or
codes that can be used to represent the clinical concepts … Many competing value sets appear to address the same clinical concepts in VSAC. … These concepts were informed or derived from text in the evidence-based source.
Table 1.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - A value set service and cache for retrieving coded clinical concepts from the National
Library of Medicine … These concepts were informed or derived from text in the recommendation statement. … published on the USPSTF website, along with resources outlining their extensive investigation
into concepts … completeness/
add explanation
ESRD, ESRD
encounter, dialysis,
dependence on
dialysis
These concepts … As mentioned previously in
other decision log entries, each of these concepts represent different ways
-
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 - with the identification of existing value sets or
codes that can be used to represent the clinical concepts … Many competing value sets appear to address the same clinical concepts in VSAC. … These concepts were informed or derived from text in the evidence-based source.
20
Table 1. … Implementers might consider representing ASCVD as
a grouped value set that includes diagnosis and procedure concepts
-
cds.ahrq.gov/sites/default/files/workgroups/251/aug-2017-cholesterol-wg-notes.docx
January 01, 2017 - No additional changes to the logic, data elements or value set representations of the data concepts were
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - A value set service and cache for retrieving coded clinical concepts from the National
Library of Medicine … These concepts were informed or derived from text in the recommendation statement. … published on the USPSTF website, along with resources outlining their extensive investigation
into concepts … As mentioned previously in
other decision log entries, each of these concepts represent different ways … Data Requirements
The clinical concepts specified as data elements in the CDS logic for this artifact
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - statements of the eCQM numerator, denominator, and exclusions, followed by the CDS expressions of the
same concepts … These concepts were informed or derived from text in the recommendation statement. … Population 1 “clinical ASCVD” ASCVD is defined by value sets that include diagnosis and procedure concepts
-
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 - These concepts are excluded by the USPSTF guideline statement, as these scenarios are deemed to possibly … components relevant to operationalization
Atomize
The process of extracting and refining single concepts … High-level concepts include:
"Diagnosis: "Ischemic Vascular Disease"
"Diagnosis: Myocardial Infarction … Management Work Group physicians felt that providers should determine if a statin is withheld based on these concepts … Management Work Group physicians felt that providers should determine if a statin is withheld based on these concepts
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - Scenarios Supported With Customization of the Coded
Expression
The coded CDS expression defines clinical concepts … • A value set service and cache for retrieving coded clinical concepts from the National
Library of … These concepts were informed or derived from text in the recommendation statement. … American Medical
Association (JAMA), along with resources outlining their extensive investigation into concepts
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - Scenarios Supported With Customization of the Coded
Expression
The coded CDS expression defines clinical concepts … • A value set service and cache for retrieving coded clinical concepts from the National
Library … These concepts were informed or derived from text in the recommendation statement. … American Medical
Association (JAMA), along with resources outlining their extensive investigation into concepts
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Presentation.pdf
January 01, 2022 - • Proposed minor refactor of core Pain Management Summary library to allow
more reuse
► Extracted “concepts