-
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 - Exclude patients with end-stage renal disease and patients undergoing dialysis.
4. … 11.79
190
45
+
TRUE
TRUE
End Stage … Work Group recommendation based on their medical expertise)
Verify completeness
Diagnosis of End Stage
-
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 - medications, who are receiving palliative care, who have hepatic disease or insufficiency, who have end-stage … Value sets needed to be established for computable definitions of ASCVD, end-stage renal disease, hepatic … Patients with end-stage renal disease (ESRD).
-
cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Lookback Periods, and Notifications for the USPSTF Artifacts
CAMH provided an update on the current stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository.xlsx
January 01, 2003 - failure, unspecified 313092 Sorbitol 700 MG/ML Oral Solution
N18.1 Chronic kidney disease, stage … 2 (mild) 313863 Bisacodyl 5 MG Rectal Suppository
N18.3 Chronic kidney disease, stage 3 (moderate … ) 314087 Magnesium Hydroxide 240 MG/ML Oral Suspension
N18.4 Chronic kidney disease, stage 4 … (severe) 314113 Magnesium Oxide 200 MG Oral Tablet
N18.5 Chronic kidney disease, stage 5 … Hydroxide 200 MG / Magnesium Hydroxide 200 MG / Simethicone 20 MG Chewable Tablet
N18.6 End stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - failure, unspecified 313092 Sorbitol 700 MG/ML Oral Solution
N18.1 Chronic kidney disease, stage … 2 (mild) 313863 Bisacodyl 5 MG Rectal Suppository
N18.3 Chronic kidney disease, stage 3 (moderate … ) 314087 Magnesium Hydroxide 240 MG/ML Oral Suspension
N18.4 Chronic kidney disease, stage 4 … (severe) 314113 Magnesium Oxide 200 MG Oral Tablet
N18.5 Chronic kidney disease, stage 5 … Hydroxide 200 MG / Magnesium Hydroxide 200 MG / Simethicone 20 MG Chewable Tablet
N18.6 End stage
-
cds.ahrq.gov/sites/default/files/workgroups/1236/CDS_Connect_WG_Nov2020_Slides.pdf
December 01, 2020 - significance in terms of
confidence in authenticity, reliability, and trustworthiness, integrity, and stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final.pdf
September 01, 2019 - statement; therefore, is listed as an exclusion); currently pregnant or breastfeeding; a
diagnosis of end stage … End stage renal disease (ESRD), end stage renal disease encounter, dialysis
procedure, and dependence … Patient not included because their 10-Year risk score is less than 10%
• Patient excluded due to end stage … ‘active' OR 'relapse’ (see
https://www.hl7.org/fhir/DSTU2/valueset-condition-
clinical.html)
End Stage … present
38
Data Element
Inclusion (I) vs
Exclusion (X)
FHIR Resource Required Elements
End Stage
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· One system displays a best practice alert and the provider can click on ‘Accept’ to stage the order
-
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 - Patient has end-stage renal disease.
e. Patient is on another anticoagulant.
f. … this artifact can follow the activities described below to enhance this
artifact to the structured stage … bleed
OR diagnosis of active GI ulcers
OR diagnosis of bleeding disorders
OR diagnosis of end stage
-
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 - Patient has end-stage renal disease.
e. Patient is on another anticoagulant.
f. … follow the activities described in the following section to
enhance this artifact to the structured stage … bleed
OR diagnosis of active GI ulcers
OR diagnosis of bleeding disorders
OR diagnosis of end stage
-
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 - Patient has end-stage renal disease.
e. Patient is on another anticoagulant.
f. … Figure 1: CDS Artifact Maturity Process
To continue the maturation of this artifact to the structured stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Both organizations collaborated on refinements to the CDS during every stage of the partnership
to improve … of accurate
CDS interventions.
15
Enhancements that occurred during this stage
-
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 - Permissible follow-up questions at this
stage differ from those at the pre-offer stage when an employer … The ADA prohibition on
asking applicants about medical conditions at the pre-offer stage does not prevent
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final_1.pdf
April 01, 2021 - • A diagnosis of end stage renal disease (ESRD) or receiving dialysis therapy. … ESRD, end stage renal disease encounter, dialysis procedure, and
dependence on dialysis as exclusions … verificationStatus is ‘confirmed’
clinicalStatus is ‘active,’ ‘relapse,’ or ‘recurrence’ (R4 only)
End Stage … verificationStatus is ‘confirmed’
clinicalStatus is ‘active’
no abatement[x] attributes are present
End Stage
-
cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2017.pdf
January 01, 2017 - In part, this means the inclusion of detailed artifact development
resources will support early stage … CDS developers as well as end-stage CDS
implementers and evaluators. … organizations that lack sufficient CDS, so the MITRE-developed CDS, even if it
is at a Level 2 or early 3 stage
-
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 - Figure 1: CDS Artifact Maturity Process
To continue the maturation of this artifact to the structured stage
-
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 - Figure 2: CDS Artifact Maturity Process
To continue the maturation of this artifact to the structured stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2023_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2023 - Patient has end-stage renal disease.
e. Patient is on another anticoagulant.
f. … 19
OR diagnosis of active GI ulcers
OR diagnosis of bleeding disorders
OR diagnosis of end stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Patient has end-stage renal disease.
e. Patient is on another anticoagulant.
6
f. … bleed
OR diagnosis of active GI ulcers
OR diagnosis of bleeding disorders
OR diagnosis of end stage
-
cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - Implementation Guide
Warfarin - NSAIDs
Prepared by:
Eric Chou
Under funding from AHRQ grants R21 HS023826 and R01 HS025984
MDIA publication No. 001
November 11, 2019
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…