-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2023_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2023 - comparison of content across value sets is difficult:
1. … Be prepared to inspect
the value sets to determine their fitness for purpose.
2. … Many competing value sets appear to convey the same clinical concepts in VSAC. … It is unclear what happens to the
value sets in this scenario.
b. … Over time, additional value sets will be established on VSAC, and existing value sets will
become more
-
cds.ahrq.gov/sites/default/files/workgroups/1191/CDS%20Connect%20Work%20Group%20June%202020%20Meeting%20Slides.pdf
June 01, 2020 - ► CQL Testing Framework
− Version 2.1.1: Support for downloading and using version-specific value sets … from VSAC
► CQL Services
− Version 1.6.1: Support for downloading and using version-specific value sets … ► Pain Management Summary
− Version 0.3.3: Support for downloading and using version-specific value sets
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-09/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_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 … 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/2024-08/USPSTFPrediabetesAndType2DiabetesPart2Counseling_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_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final.pdf
January 01, 2020 - 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
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final_2.pdf
April 01, 2021 - comparison of content across value sets is difficult:
1. … Be prepared to inspect
the value sets to determine their fitness for purpose.
2. … Many competing value sets appear to be the same clinical concepts in VSAC. … It is unclear what happens to the
value sets in this scenario.
b. … Over time, additional value sets will be established on VSAC and existing value sets will
become more
-
cds.ahrq.gov/sites/default/files/workgroups/1211/CDS_Connect_Work_Group_September_2020_%20Summary.pdf
January 01, 2020 - The VSAC Collaboration knew that value
sets were going to have ongoing use, but that there would be … WG member asked whether intentional value sets on VSAC would mitigate the challenges identified. … VSAC and Logical Observation Identifiers
Names and Code (LOINC) to illustrate how intentional value sets … But these
new sets still need to be vetted, and they require a human intervention.
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.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
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_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 … 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/workgroups/1176/CDS%20Connect%20Work%20Group%20May%202020%20Meeting%20Slides.pdf
May 01, 2020 - Reviewed annually by the CDS Connect
project team and receive updated
evidence, metadata, value sets … reviewed’ status (Slide 3 of 4)
• Clinical concept representation
► Determine if there are new value sets … or codes that define a clinical
concept in the logic (old/existing value sets do not need to be
reconsidered … Testing Framework
− Version 2.1.0: Support for CQL using FHIR URL or URN representation of VSAC value sets
-
cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.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
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-09/USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_Change_Log.txt
January 01, 2021 - 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
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-10/USPSTF_Screening_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_Change_Log.txt
January 01, 2021 - 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
-
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 - then implementers may create their own value sets through VSAC. … comparison of content across value sets is difficult:
1. … Many competing value sets appear to address the same clinical concepts in VSAC. … It is unclear what happens
to the value sets in this scenario.
b. … Over time, additional value sets will be established on VSAC and existing value
sets will become more
-
cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - process and share
others’ approaches to reviewing and updating CDS artifacts,
including evidence, value sets … 6
Optimize Chosen Value Sets (VSs)
• Confirm each VS has been updated in VSAC with code
system updates … the Process is Variable
Identify and Incorporate “Meaningful” New Evidence
Optimize Chosen Value Sets
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log_1.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/2021-09/Million_Hearts_Baseline_10_Year_ASCVD_Risk_Change_Log.txt
January 01, 2021 - changes from the DSTU2 version:
- Uses US Core v4.0.0 Race extension and associated codes / value sets … - Uses US Core v4.0.0 Smokingstatus profile and associated codes / value sets
- Uses FHIR core Blood
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - then
implementers may create their own value sets through VSAC. … comparison of content across value sets is difficult.
1. … Many competing value sets appear to address the same clinical concepts in VSAC. … It is unclear what happens to the
value sets in this scenario.
b. … Over time, additional value sets will be established on VSAC and existing value
sets will become more
-
cds.ahrq.gov/sites/default/files/workgroups/1211/CDS_Connect_Work_Group_September_2020_Presentation.pdf
January 01, 2020 - rather than a cloud-based
approach
16
Example 2:
Stewardship for linked terminologies and/or value sets … vulnerability scans for cloud-based solutions,
implementing organizations might have
• Underlying value sets … this type
• These guidelines should:
► include specific guidance on management of underlying value sets … Stewardship for cloud-based artifacts
Example 2: �Stewardship for linked terminologies and/or value sets
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_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 … 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