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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - ’s formal process utilizing a unique Alliance Data Request Form (DRF). … MITRE documented data elements specific to the pilot CDS, as well as upstream and downstream data elements … ’s EHR and how the data concepts were expressed in the Statin Use artifact. … operate on instances of FHIR data. … Data Sharing
When asked for thoughts as to what conditions and data elements needed to be better shared
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 09, 2018 - Background
Methods
Preparing for a Childhood Obesity Clinical Decision Support Intervention
Using EHR Data … Coordinator, Patricia DeRusso, MD, MS Director, Healthy Weight Program
Using our EHR data … used to improve recognition
CDS may be beneficial for other aspects of management, however:
Baseline data … and EHR data
Obtain wide-based user input into the development of a CDS module for obesity management … had a diagnosis
Clinicians reported several different workflows, including where they access BMI data
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - The artifacts are suitable for producing an intelligent data display. … Using data
from Ms. … Display the ASCVD risk calculation as a calculator view or data view.
4. … Test Data
In conjunction with a custom Node.js testing framework, the following data tables were used … Test Data
Appendix C. Reference List
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cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - mentioned in recommendation notifications as an exclusion, if implementers do not feel strongly that this data … They feel that this data element will likely be revised during the annual update based on provider feedback … Would not include ‘according to available data either’.
· Include the rationale in the message (i.e., … NOTICE
This technical data was produced for the U. S. … HHSM-500-2012-00008I, and is subject to Federal Acquisition Regulation Clause 52.227-14, Rights in Data-General
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - Connect Repository
The Repository’s artifact metadata fields will better align with the artifact data … The Repository data elements represent a better field-level alignment with the
fields in the CPG-on-FHIR … The CQL representation was also updated to use the HL7 FHIR Release 4 data
model. … easily create CDS logic and to export artifacts into a
standard format (i.e., CQL that uses a FHIR data … Data that authors enter in these fields will be exported as part of the CPG library definition
when
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - requirement was thoroughly examined in comparison to how
the data is captured in OCHIN’s system and … This ensured that all relevant data
was populated in the Summary. … Future enhancements
in this area may be beneficial once
the data are routinely available. … is captured in OCHIN’s system versus how the data is
used in the CDS. … “real” patient data.
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - The artifact is suitable for producing an intelligent data display. … Using data from Ms. … Display the ASCVD risk calculation as a calculator view or data view.
4. … A selection of the test data used for this artifact is included in Appendix B. … If patient data is outside the defined range, a score
will not calculate.
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cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Slides_August%202021.pdf
August 01, 2021 - Operations
9
Technical Overview
• CEDAR provides a machine-accessible interface to repository data … Description Scoring
F1.1.1
Artifacts have a persistent
identifier as a metadata
element
To ensure that data … 21
Notice
This technical data was produced for the U.S. … Order 75Q80120F80008 and is subject to Federal Acquisition
Regulation Clause 52.227-17, Rights in Data-Special
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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 - Updated links in data requirements
table. … For example, missing
data may be supplemented by enabling data collection directly from the patient … inputs required by the
artifact (see Data Requirements file attached to the artifact). … A list of the data requirements for the artifact is found in the Data
Requirements file attached to … /data-research/adult-obesity-facts.html
https://www.cdc.gov/obesity/php/data-research/adult-obesity-facts.html
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - Downloading a CDS Artifact Using the FHIR R4 Data Model .................................... 13
Figure … CQL libraries that use the FHIR R4 data model. … version of FHIR the synthetic data conforms. … of the data based on recommended fields (as shown
in Figure 8). … , including data from prescription drug
monitoring programs.
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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 - Updated links in data requirements table. … methods to obtain critical patient-specific data may be necessary. … For example, missing
data may be supplemented by enabling data collection directly from the patient … inputs required by the
artifact (see Data Requirements file attached to the artifact). … A list of the data requirements for the artifact is found in the Data
Requirements file attached to
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Required structured data captured in the site’s EHR system
4. … information on the data pulled
to populate the summary and
references, including URLs. … Some of the mapping was required to work around data requirements that Epic did not support. … codify each data element, mapping of the local code to a standard terminology
was required. … for a patient, and the data
stored for future reporting.
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - The work group members did not have enough experience of how data is captured on the back end of their … Consider evaluation of the availability of data with this status during testing.
· For clinical status … · Adherence data is helpful to inform decisions. … NOTICE
This technical data was produced for the U. S. … HHSM-500-2012-00008I, and is subject to Federal Acquisition Regulation Clause 52.227-14, Rights in Data-General
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - methods to obtain needed patient-specific data may be necessary. … For example, missing
data may be supplemented by enabling data collection directly from the patient … their system (such as claims data). … A data model based on FHIR Draft Standard for Trial Use 2 (DSTU2).
2. … in their system (e.g., as claims data).
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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - , adaptable
Stage 2
Layout, spacing, internal workflow (white box testing)
Stage 3
Interactivity, data … Before and After Implementation
Testing before implementation
Everything functions as expected
Patient data … increase in comorbidity screening lab evaluation
8
Clinical Use:
Unanticipated issues
Large patient data … effect
Patient data strained and slowed the system
Patient data is often incomplete and contained partial … management
Improve clinician comfort using the Healthy Weight Care Assistant
Evaluate: Monitor usage and data
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Guide%20to%20the%20Healthy%20Weight%20Care%20Assistant.docx
February 15, 2018 - The server backend is typically responsible for data manipulation, object formatting, connections with … These include Compilation, CSS, Data, HTML, Images, JS, Node_modules, Release, Resources, and test
b. … Data
i. … This folder contains the xml and xsd information for the source data for the CDS intervention. … Supplemental data files were also included here including a ‘dorun.txt’ file, which could be used to
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cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - The artifact is suitable for producing an intelligent data display. … Using data from Ms. … Display the ASCVD risk calculation as a calculator view or data view.
4. … If patient data is outside the defined range, a score will not calculate. … cannot be discerned from EHR structured data.
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - “consider” or “discuss” versus “start” based on the risk score/threshold)
· Provide transparency of data … elements used to generate the recommendation so providers can evaluate the accuracy of the input data … Implementation of both USPSTF artifacts
· Trigger can be either encounter driven or data driven (usually … systems that have implemented cholesterol CDS to inform the CDS Connect pilot
NOTICE
This technical data … HHSM-500-2012-00008I, and is subject to Federal Acquisition Regulation Clause 52.227-14, Rights in Data-General
-
cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - should be computable: Artifacts should be defined at a level of specificity that enables execution (e.g. data … Potential caveats associated with a risk score calculated based on missing, edge or out of range data … NOTICE
This technical data was produced for the U. S. … HHSM-500-2012-00008I, and is subject to Federal Acquisition Regulation Clause 52.227-14, Rights in Data-General
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - Relevant data can be fragmented
10
and difficult to find, share, and interpret. … Thus, it includes knowledge (evidence-based research); data (patient-
generated health data, patient-reported … The entire set of test data
resides in ZIP files attached to the CDS artifact in the Repository. … Data populated in the summary may reveal
contraindications to opioid therapy. … Common CQL functions used to convert CQL data elements to FHIR and back
again.