-
cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2017.pdf
January 01, 2017 - Drupal Analysis
• CDS Connect Systems Document
• CDS Connect Service Level Agreement
• CDS Connect Draft … The USPSTF Statin Recommendation Grade B1 artifact was pilot tested in a live clinical
environment. … point-to-point sharing of executable clinical
knowledge as human-readable language; and 2) the FHIR Draft … When applicable, the recommendation and rationale for each
subpopulation was defined. … These errors are defined
separately from each recommendation so they can be handled differently when
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Project_Report_09_29_2022.pdf
January 01, 2022 - • Searching by Artifact status; each Artifact in CEDAR can have a status of draft, active,
unknown … The Citation Resource is still at a draft maturity level, which presents both
challenges and opportunities … As a draft Resource, the Citation is likely to evolve based on input
from the FHIR community, and changes … Recommendations for CEDAR Maintenance, Enhancement, and Expansion
Category of Recommendation Recommendation … Recommendation Text
Reference Implementation - Development Include additional search functionality
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - The project team chose to use the FHIR Draft Standard for Trial Use 2 (DSTU2) data model in
the CQL … update to the administrative content page used by
administrative editors to monitor the status of draft … Recommendation #10 - Urine Drug Testing CDC Structured 04/23/2017
Recommendation #11: Concurrent Use … /recommendation-10-urine-drug-testing
https://cds.ahrq.gov/cdsconnect/artifact/recommendation-11-concurrent-use-opioids-and-benzodiazepines … Preventive Services Task Force Recommendation
Statement.
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - authored logic using synthetic data to verify its correctness
• Exporting valid CQL using the FHIR Draft … For example, users can:
• Re-order recommendations, affecting how the recommendation logic flows … As part of this process, the team
revised the draft governance developed in prior years of CDS Connect … The team
also reduced the length of the meeting from 90 to 60 minutes, shared the draft slide deck in … CQL Clinical Quality Language
CVD Cardiovascular Disease
DKIM Domain Keys Identified Mail
DSTU Draft
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - Possible increased risk of bleeding
· Class 1: Red: Avoid Combination
· For Warfarin – NSAIDS rule:
· Recommendation … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … representation of medical knowledge that contains code files that represent the source content (e.g., recommendation … Yellow) Alert Basic Tests
Patient ID
Age
Rule Branch
Warfarin
NSAID
PPI or Misoprostol
RESULT: Recommendation … Several decisions were made outside the scope of the atomized words and phrases in the recommendation
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary_1.pdf
September 01, 2022 - Instead, it is meant to complement several of the 12 recommendation
statements within the CDC guideline … • Recommendation 10: When prescribing opioids for chronic pain, clinicians should use
urine drug … • Recommendation 11: Clinicians should avoid prescribing opioid pain medication and
benzodiazepines … The lookback period is expressed as 1 year to align with the
recommendation. … Decision
Category Concept Rationale
Add explanation Revisions to the
guidelines
The CDC released draft
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Outreach_Report_October_2022_508.pdf
January 01, 2022 - Short- and Long-Term Recommendations Offered by CEPI Repository End Users
Recommendation Short- or … www.agreetrust.org/wp-
content/uploads/2013/06/AGREE_II_Users_Manual_and_23-item_Instrument_ENGLISH.pdf
5
Recommendation … One such
recommendation was to search by topic, keyword, and concept. … Communications Plan
In Phase 4, MITRE developed a draft communications plan that documented suggestions
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cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - expectations
• MITRE CDS Connect Project team reviewed CDS artifacts
developed for AHRQ and created a draft
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - Classifications:
· Class 4: Green: No Special Precautions
· For Warfarin – Antidepressants rule:
· Recommendation … bleeding risk is possible
· Class 1: Red: Avoid Combination
· For Warfarin – Antidepressants rule:
· Recommendation … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … Basic Tests
Patient ID
Age
Rule Branch
Warfarin
Antidepressant
Bleeding Risk Factor
RESULT: Recommendation … Basic Tests
Patient ID
Age
Rule Branch
Warfarin
Antidepressant
Bleeding Risk Factor
RESULT: Recommendation
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - Currently, the team has uploaded the draft into the development
environment for testing and further … • Exporting valid CQL using the FHIR Draft STU 2, FHIR STU 3, or FHIR Release 4 data
models. … • Recommendation: As evidence and standards evolve ever more rapidly, it will be helpful
to consider … • Recommendation: The team intends to post the developed resources to the CDS Connect
website. … Representation of CPG recommendations in FHIR
CQL Clinical Quality Language
CVD Cardiovascular Disease
DSTU Draft
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cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2018.pdf
January 01, 2018 - and Artifact
Workflow Modifications (Technical
Briefing)
CDS Connect July 2018 Working
Group: Draft … To achieve this, MITRE used
the Health Level 7 (HL7) FHIR Draft Standard for Trial Use 2 (DSTU2) data … Semi-structured text that describes the recommendation logic for implementation as
CDS, often created … Usually this is not a large
challenge—especially when deriving CDS directly from one recommendation … Having volunteers or others draft the metadata to facilitate the
upload is not a sustainable process
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cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax%20Post%20Exposure%20Prophylaxis%20Implementation%20Guide%20v2.0%2020190607.pdf
June 07, 2019 - Version Date Author / Owner Description of Change
1.0 September 10,
2018
The Health FFRDC Team First draft … The reviewed guidelines contained no specific, graded
recommendation statements, and the CDS artifact … current prescription for a recommended antimicrobial but dosage and
duration are not consistent with recommendation … When FHIR R3 is used for ActivityDefinition and PlanDefinition
resources, they will conform to the draft … criterion is not met, the patient
requires a new prescription for an antimicrobial to meet
the recommendation
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cds.ahrq.gov/sites/default/files/workgroups/1256/CDS_Connect_WG_Feb2021_Slides.pdf
February 24, 2021 - February 2021 CDS Connect Work Group Call
February 2021 CDS Connect Work Group Call
Meeting Agenda
Schedule Topic
3:00 - 3:02 • Roll Call, Michelle Lenox (MITRE)
3:02 - 3:05 • Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:50 • Discussion: Supporting Implementers of Shareable CDS with the Implementation G…
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - MITRE improved the CPG form by adding “Strength of Recommendation” and “Quality of Evidence”
fields. … The Recommendation component of the Authoring Tool now offers the option to add one or more
links, each
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
January 01, 2022 - April 2022 CDS Connect Work Group Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
April 21, 2022
3:00 – 4:00 pm ET
Attendees: 31 people, including 6 phone dial-ins
Organization Attendees
AHRQ Sponsors Edwin Lomatan, Mario Teran, Roland Gamache (3)
WG Members Alex Go…
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2023_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2023 - recommendation via an inbox message to the provider or a “to-do” item on the
patient’s chart. … The recommendation can also be printed as part of the patient’s
visit face-sheet. … Patient understood the recommendation but elects not to take a statin.
iv. … These concepts were informed or derived from text in the recommendation statement. … If they are
76 years old, then they fall outside the highest ACC/AHA recommendation).
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2023_508.pdf
January 01, 2023 - the artifact was published
• Status – the status of the artifact; has one of five possible values: “draft … community support. 31 This means that the Citation resource
is currently published in FHIR (revision 5) as draft … The extensions provide additional
metadata, such as strength of recommendation and quality of evidence … Presence of a status property with one of the following string values: draft, active,
retired, unknown … E.g., if the uspstfAlias has a value of autism-
screening, CEDAR assumes the recommendation web page
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation_Guide_Statin_Therapy_CVD_eCQM_0.pdf
September 01, 2022 - 11
recommendation via an inbox message to the provider or a “to-do” item on the
patient’s chart … The recommendation can also be printed as part of the patient’s
visit face-sheet. … Patient understood the recommendation but elects not to take a statin.
d. … These concepts were informed or derived from text in the recommendation statement. … If they are 76
years old, then they fall outside the highest ACC/AHA recommendation).
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation_Guide_Statin_Therapy_CVD_eCQM.pdf
September 01, 2022 - 11
recommendation via an inbox message to the provider or a “to-do” item on the
patient’s chart … The recommendation can also be printed as part of the patient’s
visit face-sheet. … Patient understood the recommendation but elects not to take a statin.
d. … These concepts were informed or derived from text in the recommendation statement. … If they are 76
years old, then they fall outside the highest ACC/AHA recommendation).
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM%20Artifact.pdf
April 01, 2021 - recommendation via an inbox message to the provider or a “to-do” item on the
patient’s chart. … The recommendation can also be printed as part of the patient’s
visit face-sheet. … Patient understood the recommendation but elects not to take a statin.
d. … These concepts were informed or derived from text in the recommendation statement. … If they are 76 years old, then they fall outside the highest
ACC/AHA recommendation).