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cds.ahrq.gov/taxonomy/term/147891
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cds.ahrq.gov/cdsconnect/keywords/statin-therapy
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Intervention_Content_Statin_Patient_1.xlsx
January 01, 2024 - Example Intervention Text
Example Patient-Facing Intervention Text: Statin Use for the Primary Prevention … example intervention text shown below is embedded in the Clinical Quality Language (CQL) files for the Statin … Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention Text
DISPLAY … or older and have one or more risk factors for CVD, you should consider taking a medication called a statin … It lists questions to ask the doctor about personal risk as well as about taking a statin.
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
January 01, 2024 - FHIR DSTU2 Data Requirements
FHIR DSTU2 Data Requirements: Statin Use for the Primary Prevention of … valueCodeableConcept Mixed (1 single code and 1 VS) 72166-2 (question) 2.16.840.1.113883.3.600.2390 (response)
Statin … 2.16.840.1.113883.3.526.3.1575
2.16.840.1.113762.1.4.1032.17 2.16.840.1.113883.3.526.3.1572
2.16.840.1.113762.1.4.1032.18
Statin … 2.16.840.1.113883.3.526.3.1572
2.16.840.1.113762.1.4.1032.18
FHIR R4 Data Requirements
FHIR R4 Data Requirements: Statin … valueCodeableConcept Mixed (1 single code and 1 VS) 72166-2 (question) 2.16.840.1.113883.3.600.2390 (response)
Statin
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - Those currently receiving or prescribed a statin medication. … These “Statin Use” artifacts
exhibit two main differences. … The Statin Use:
Patient-Facing artifact leveraged this previous work.
a. … Statin Use for the Primary Prevention of Cardiovascular
Disease in Adults. … Statin-induced rhabdomyolysis: a comprehensive review of
case reports.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - Alpha begin taking a statin. … • Those currently receiving or prescribed a statin medication. … Suggested order for a statin medication.
5. … These “Statin Use” artifacts
exhibit two main differences. … Exclusions “statin medication
order, …statement,
… dispensed…
within the past 2
years”
A statin
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - • Those currently receiving or prescribed a statin medication. … There are two differences
between the two “Statin Use” artifacts. … The Statin Use:
Patient-Facing artifact leveraged this previous work.
a. … Exclusions “statin medication
order, … statement,
… dispensed …
within the past 2
years”
A statin … Statin-induced rhabdomyolysis: a comprehensive review of
case reports.
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Implementation Guide: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD) … drug (unless the patient
is already on a statin). … Suggested action: Order a statin medication.
4. … Patient understood the recommendation but elects not to take a statin.
iv. … muscle symptoms or an allergy to statin medication
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - allergen" (2.16.840.1.113883.3.117.1.7.1.423) with "Statin Allergen"
(2.16.840.1.113762.1.4.1110.42 … )
- Replace "Moderate intensity statin therapy" (2.16.840.1.113762.1.4.1047.98) value set
with "Moderate … Intensity Statin Therapy" (2.16.840.1.113883.3.526.3.1575)
- Replace "High intensity statin therapy" … Familial hypercholesterolemia reference code since it is now in the value
set
- Value Sets: Added Statin … - Population 3 Inclusions: Removed requirement for most recent LDL >= 70 mg/dL
- Exclusions: Added Statin
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log.txt
January 01, 2024 - Update CDSConnectCommonsForFHIRv102 to version 2.1.0
- Replace extensional value set "Low intensity statin … (currently expands to same codes)
- Replace extensional value set "Moderate intensity statin therapy … (currently expands to same codes)
- Replace extensional value set "High intensity statin therapy" … (currently expands to same codes)
- Replace extensional value set "Moderate intensity statin therapy … (currently expands to same codes)
- Replace extensional value set "High intensity statin therapy"
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2024 - Update CDSConnectCommonsForFHIRv102 to version 2.1.0
- Replace extensional value set "Low intensity statin … (currently expands to same codes)
- Replace extensional value set "Moderate intensity statin therapy … (currently expands to same codes)
- Replace extensional value set "High intensity statin therapy" … (currently expands to same codes)
- Replace extensional value set "Moderate intensity statin therapy … (currently expands to same codes)
- Replace extensional value set "High intensity statin therapy"
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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 - Implementation Guide: USPSTF Statin Use for Primary Prevention of CVD in Adults. … Basic Tests a
Table 3: USPSTF Statin Exclusion Tests b
Table 4: USPSTF Statin Inclusion Tests c
Table … Suggested action: order for a statin medication.
6. … Aligns with ACC/AHA thoughts on contraindications for statin use. … is already receiving a statin.
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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 - Therapy eCQM Basic Tests a
Table 3: Statin Therapy eCQM Exclusion Tests b
Table 4: Statin Therapy eCQM … , a recommendation to consider ordering a statin drug is delivered. … Suggested action: order for a statin medication.
4. … Patient has understood the recommendation but elects not to take a statin.
d. … 'consider' a statin).
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Lookback Periods, Notifications for the USPSTF Artifacts and Value Sets
· CDS Connect Pilot Overview
· Statin … · Different perspectives were shared on the wording of the notification:
· Use “consider” statin for … 7.5%-9.5% risk and possibly use “discuss” statin for a risk > 10%. … · A statement like: “Start low-medium intensity statin based on outcome of discussion and shared decision … making with patient” would be better than simply stating “Start low-medium intensity statin”.
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cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - The ACC/AHA provides a statin recommendation for risk scores 5-<=7.5% and USPSTF provides one for 7.5 … for a stronger recommendation and “discuss” statin for a lesser one) … You might not want to trigger a recommendation to lower statin therapy if a patient was started on a … high intensity statin b/c their LDL was > 190. … This will be consistent with the statin artifact also.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - Initial Definition of the Statin Use Artifact 4
3. … To enhance and inform the CDS Connect artifact development process, one artifact (i.e., Statin Use for … Initial Definition of the Statin Use Artifact
The initial definition of the Statin Use artifact was … Use for the Primary Prevention of CVD in Adults (hereinafter “Statin Use”) artifact. … · Low Intensity Statin
Initial Definition
Low intensity statin semantic clinical drugs (SCD) and
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cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - with ASCVD:
· Do not present the calculated risk for ASCVD patients, but provide recommendation for statin … score is invalid for these patients, as they already have ASCVD; however, they would still benefit from statin … preferred tool based on their practice and intention for ascertaining risk (e.g., post initiation of a statin … decision making must include not just the risk of cardiovascular disease, but the potential impact of statin … )
The group agreed on pursuing development of artifacts in alignment with other quality measures:
· Statin
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - Welcome
· Discuss Remaining Repository Questions
· Clarify 10-Year Risk Assessment Details
· Discuss Statin … Discuss Statin Therapy for the Prevention and Treatment of CVD eCQM/CDS Artifact
Quality Insights of … They provided an overview of a statin therapy measure available as a registry measure under the Physician … members’ feedback on the appropriate triggers, expression logic, and interventions to represent the statin … Discuss Statin Therapy for the Prevention and Treatment of CVD eCQM/CDS Artifact
Not discussed.
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - development
options for easier maintenance
• Not visible to users
15
CDS Artifacts (Slide 1 of 2)
• Statin … new evidence, per CMS; Value sets and CQL are not applicable; metadata updated with the posted IG
• Statin … new evidence, per USPSTF; Value sets updated; CQL updated for R4; metadata updated with posted IG
• Statin … are not applicable; metadata updated with the posted IG
16
https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/statin-use-primary-prevention-cvd-adults-patient-facing-cds-intervention