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  1. cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
    January 01, 2024 - subject matter experts (SME) as needed, guideline developers, professional organizations Value Sets … Determine whether current value sets have been modified since last review and if modifications still … Explore if new value sets might better support the intent of the CDS artifact and update accordingly … If needed, create new value sets for updated logic based on new evidence. … logic to reflect new CQL or FHIR standards/functionality, as well as new or changed evidence or value sets
  2. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
    January 01, 2024 - ----------------------------------------------------------- Version 1.1.0 applies updates to value sets … ) in favor of more specific value sets - Value Sets: Added Encounter Inpatient (2.16.840.1.113883.3.666.5.307 … ) - Value Sets: Added Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) - Value Sets: Added Palliative … ) in favor of more specific value sets - Value Sets: Added Encounter Inpatient (2.16.840.1.113883.3.666.5.307 … ) - Value Sets: Added Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) - Value Sets: Added Palliative
  3. cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_%206-7-2021.pdf
    January 01, 2021 - subject matter experts (SME) as needed, guideline developers, professional organizations Value Sets … Determine whether current value sets have been modified since last review; determine if any new codes … are not reflected in the value set and/or whether new value sets have become available that better … Update logic to reflect new CQL or FHIR standards/functionality, as well as new or changed value sets … Substantive Review Review the current IG sections; update to reflect changes made around evidence, value sets
  4. cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
    January 01, 2021 - • Step 2: Are the value sets (VSs) still current? … Longitudinal ASCVD Risk Assessment Tool for Shared Decision Making ► No new evidence, per CMS; Value sets … Prevention of CVD in Adults: Clinician-Facing CDS Intervention ► No new evidence, per USPSTF; Value sets … for CVD Prevention in Adults With Cardiovascular Risk Factors ► New evidence → new artifact; Value sets … Consider in Managing Chronic Pain: A Pain Management Summary ► New evidence, per AHRQ reports; Value sets
  5. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log_0.txt
    January 01, 2023 - ----------------------------------------------------------- Version 1.1.0 applies updates to value sets … ) in favor of more specific value sets - Value Sets: Added Encounter Inpatient (2.16.840.1.113883.3.666.5.307 … ) - Value Sets: Added Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) - Value Sets: Added Palliative … ) in favor of more specific value sets - Value Sets: Added Encounter Inpatient (2.16.840.1.113883.3.666.5.307 … ) - Value Sets: Added Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) - Value Sets: Added Palliative
  6. cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
    January 01, 2024 - expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets … medicationCodeableConcept status is ‘active' effectiveDateTime or effectivePeriod Union of 6 Value Sets … expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets
  7. cds.ahrq.gov/sites/default/files/cds/artifact/1056/2022_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
    January 01, 2022 - expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets … medicationCodeableConcept status is ‘active' effectiveDateTime or effectivePeriod Union of 6 Value Sets … expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets
  8. cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
    January 01, 2023 - expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets … medicationCodeableConcept status is ‘active' effectiveDateTime or effectivePeriod Union of 6 Value Sets … expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets
  9. cds.ahrq.gov/sites/default/files/workgroups/1176/CDS%20Connect%20Work%20Group%20May%202020%20Meeting%20Summary.pdf
    May 21, 2020 - (MITRE, BR, MM) o Consider holding additional discussions on unique behavior of value sets updates and … • WG members asked how value sets would be addressed. … MITRE project team clarified that Repository does not host value sets as standalone artifacts and so … notification to CDS Authors when value sets are updated, how the use of intentional value sets could … streamline the update and review process, and the unique properties of value sets that could create
  10. cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
    January 01, 2021 - certainty of evidence • Artifact proposals reviewed with asthma Expert Panel members ► L2s ► L3s − Value sets … trigger(s), condition(s) logic, action(s), and projected value set needs Phase 2: L3 artifacts • Value sets … Tool Feedback (2/5) Challenges/Barriers • Only accesses published valuesets ► No access to value sets … pre-published in authoring environment ► Does not support needed “agile” development − Needed value sets … did not exist − Proxy value sets − Value set creation, update iterations − Logic vs. value sets solution
  11. cds.ahrq.gov/sites/default/files/cds/artifact/1056/Statin%20Use_Patient%20Facing_Data%20Requirements.xlsx
    September 18, 2019 - expression (e.g., the FHIR attributes required by the logic, the standard terminologies and/or value sets … Disease (CVD)) Condition code verificationStatus is 'confirmed' CVD = Union of 8 VSs MI - 2 Value Sets … ) MedicationOrder medicationCodeableConcept status is ‘active' dateEnded is absent Union of 6 Value Sets … wasNotTaken is absent or false effectivePeriod end date is absent or in the future Union of 6 Value Sets … MedicationDispensed medicationCodeableConcept status is ‘in-progress' or 'complete' Union of 6 Value Sets
  12. cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May_2021_Summary.pdf
    January 01, 2021 - for reviewing and updating CDS artifacts (e.g., different viewpoints on evaluating evidence, value sets … Step 2: Optimize Chosen Value Sets (VS) MITRE’s process for this step included confirming that code-system … Step 2: Optimize Chosen Value Sets • In one WG member’s experience, many VSs were created for quality … measures, and the re-use of these sets for CDS purposes requires some form of customization. … • The facilitator shared that the example they saw most relevant to other cycles was that of value sets
  13. cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
    January 01, 2024 - Updated content about value sets and codes to reflect changes made to the Value Set Authority Center … This review sets up face-sheets and requests charts for the intake personnel to use the next day. … Many competing value sets appear to convey the same clinical concepts in VSAC. … Some value sets are not actively maintained and updated. … Over time, additional value sets will be established on VSAC, and existing value sets will become more
  14. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
    January 01, 2022 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … additional changes from the DSTU2 version: - Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets The following additional … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  15. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-09/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
    January 01, 2022 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … additional changes from the DSTU2 version: - Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets The following additional … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  16. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log_0.txt
    January 01, 2023 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … 2.16.840.1.113883.3.526.3.1572 (currently expands to same codes) - Use canonical URL representation of value sets … changes from the DSTU2 version: - Uses US Core v3.1.1 Smokingstatus profile and associated codes / value sets … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  17. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
    January 01, 2023 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … additional changes from the DSTU2 version: - Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets The following additional … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  18. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFPrediabetesAndType2DiabetesPart2Counseling_Change_Log.txt
    January 01, 2023 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … additional changes from the DSTU2 version: - Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets The following additional … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  19. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
    January 01, 2024 - and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets … additional changes from the DSTU2 version: - Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Ethnicity extension and associated codes / value sets The following additional … and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets
  20. cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
    October 01, 2017 - are primarily manual processes, and comparison of content across value sets is difficult: 1. … Be prepared to inspect the value sets to determine their fitness for purpose. 2. … There are many competing value sets for what appear to be the same clinical concepts in VSAC. … It is unclear what happens to the value sets in this scenario. b. … Over time, more value sets will be established on VSAC and existing value sets will become more well-defined

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