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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Summary.pdf
January 01, 2022 - June 2022 CDS Connect Work Group Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
June 16, 2022
3:00 – 4:00 pm ET
Attendees: 40 people, including 3 phone dial-ins
Organization Attendees
AHRQ Sponsors Edwin Lomotan, Mario Teran, Roland Gamache, James Swiger,
Mary Nix (…
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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - Mobile health
(e.g., self-tracking applications, text, secure messaging)
• Patient portals (e.g., lab
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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 - includes parameters for several values (e.g., minimum and
maximum systolic blood pressure [SBP] and lab … Verify
completeness of
logic (to ensure
clinical relevance)
MOST RECENT for
lab and SBP values … Rationale
Verify
completeness of
logic (to ensure
clinical relevance)
Lookback of 6 years
for lab
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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 - Verify completeness
LDL-C lab result > 190 mg/dL added as an Exclusion
The USPSTF recommendation does … 150 mg/dL)
Logic constraints to ensure clinical relevance:
Verify completeness
MOST RECENT for lab … Verify completeness
Lookback of 6 years for lab values, smoking status, and ASCVD risk as a qualifier
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - • Background: HbA1c is one of the lab tests used to identify abnormal blood glucose
levels. … • Laboratory test results: More than 85 percent of lab results did not contain LOINC
codes, the … Because
most of b.well’s lab result data originated directly from reference laboratories, it was
surprising … Top 2000 Common Lab — U.S. LOINC Mapper’s Guide.
https://loinc.org/usage/obs/.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Similarly, Epic’s implementation of FHIR Observation
supported only lab data, vitals, and smoking status … with a patient, one clinician responded that he might
verbally describe the information, especially lab … integration with a new feature OCHIN is implementing, medMATCH6, that indicates if the
patient’s lab
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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 - includes parameters for several values (e.g., minimum and maximum
systolic blood pressure [SBP] and lab … Verify
completeness of
logic
MOST RECENT for
lab and SBP values
and smoking status to
ensure … Decision
Category
Concept Rationale
Verify
completeness of
logic
Lookback of 6 years
for lab
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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 - includes parameters for several values (e.g., minimum and maximum
systolic blood pressure [SBP] and lab … Verify
completeness of
logic
MOST RECENT for
lab and SBP values
and smoking status to
ensure clinical … Verify
completeness of
logic
Lookback of 6 years
for lab values and
SBP value and a
lookback of
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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 - Inclusions “Hemoglobin A1c
level ≥5.7%”
AND NOT
“Hemoglobin A1c
level ≥6.5%”
Hemoglobin A1c (HbA1c) lab … ≥100 mg/dl”
AND NOT
“Fasting plasma
glucose level
≥126 mg/dl”
Fasting plasma glucose (FPG) lab … indicate
prediabetes, and a level of ≥126 mg/dl may indicate type 2 DM.2 Note: the CQL code converts all lab … indicate prediabetes and a
level of ≥200 mg/dl may indicate type 2 DM.2 Note: the CQL code converts all lab
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - From the database, entities for each patients’ relevant diagnoses, drugs, lab measurements, and other
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cds.ahrq.gov/sites/default/files/cds/artifact/171/Occupational%20Factors%20which%20Impact%20Diabetes,%20%20A%20Final%20Knowledge%20Resource%20Report%20(2015).pdf
January 01, 2015 - diabetes, then the coordinator can check the
labs, which should be imported into the EHR from the lab
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - From the database, entities for each patients’ relevant diagnoses, drugs, lab measurements, and other
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - Intervention “Risk factors” A medication, calculation, assessment result, lab result, etc., that elevates … findings from those reviews, all value sets were reviewed and updated to
include new medications, lab
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - patient’s pain; not only eliminating the need to navigate to and from the problem list,
medication list, lab
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - Lab results are incorrect.
e.