-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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