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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991690
September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991533
September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991695
September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991533
September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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October 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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September 26, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991693
September 10, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991703
September 09, 2021 - Evidence Blood Pressure Control Evidence and Resources ( EvidenceNOW ): High blood pressure is a major risk … Interventions Healthful Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … Factors ( CDS Connect ) CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for Updated … 10-Year ASCVD Risk ( CDS Connect ) >Value Sets Value Sets >Quality Measures Quality Measures See this
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?pageId=114992877&selectedPageVersions=2&selectedPageVersions=3
September 15, 2021 - support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture
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cmext.ahrq.gov/confluence/pages/diffpages.action?originalId=114992868&pageId=114992877
September 15, 2021 - support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture
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cmext.ahrq.gov/confluence/download/export/downloadb6ZH1015505.zip?contentType=application/zip
September 01, 2022 - Gravity Scenario 1 Rebecca Smith: Outpatient encounter for person with social risks/needs, screening, … Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks … Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks … 65 years old
Clinical Health Concern: CKD, Diabetes, CHF, Chronic Low Back Pain, Depression
Social risks … referrals
Dependency and interdependency on low maturity FHIR Resources and WIP IGs increases project risks
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support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture
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cmext.ahrq.gov/confluence/exportword?pageId=114990920
support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114992877
support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114992868
support comprehensive shared care plan development, and tools to help execute care plan details, such as risk … calculator tools for patients and providers (cardiovascular risk, etc.), and tools to support data capture