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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - ASCVD or with Familial
Hypercholesterolemia
- Population 3: highest LDL cholesterol in the past 3 years … ; now
unrestricted)
- Population 2 Inclusions: Changed age restriction from >= 21 years to >= 20 years … old to 20 - 75 years old
- Inclusions: Population 4: New population for patients age 40 to 75 years … ; now
unrestricted)
- Population 2 Inclusions: Changed age restriction from >= 21 years to >= 20 years … old to 20 - 75 years old
- Inclusions: Population 4: New population for patients age 40 to 75 years
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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Summary.pdf
January 01, 2022 - None
MEETING SUMMARY
Presenters reviewed the project’s accomplishments over the last six years … Lacy Fabian (MITRE) began the session recognizing that CDS Connect has been in development for six
years … Over the past two years, the CDS Connect team supported FHIR R4-
based clinical quality language (CQL … his engagement as an activist for partnerships
among patients and caregivers during the last five years … Several WG members shared their support and appreciation of CDS Connect’s progress over the past
six years
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - patients with a BMI above the 95th percentile
**Appropriate comorbidities screening:
Obese and Over 10 years … : AST, ALT, Glucose, AND Lipids ordered within the past 2 years
Overweight and Over 10 years OR Obese … : Lipids ordered within the past 2 years
Figure 1.
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cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - · One organization has added 75 years of age as a threshold. … processing efficiency
· Lookback period for Population 3
· It is reasonable to translate ‘LDL result <= 2 years … starts before end of Measurement Period’ in to a lookback period of 3 years.
· Feasibility concerns … processing time to support a longer lookback, work group members voiced consent to keeping the lookback at 3 years … (as opposed to 6 years for an earlier artifact)
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cds.ahrq.gov/sites/default/files/cds/artifact/66551/ASPIRE_GuidanceForOsteoporosisFlow.pdf
July 18, 2023 - Handout
Yes
Patient has active
Bisphosphonate
treatment
active Bisphosphonate
treatment < 5 years … Yes
active Bisphosphonate
treatment > 5 years
Yes
General Info on
Fall Risk Handout
No
No
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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 willing to take low-dose aspirin daily for at least 10 years are more likely to benefit. … , and are willing to take low-dose aspirin daily for at least 10 years. … are willing to take low-dose aspirin daily for at least 10 years are more likely to benefit. … The ACC/AHA recommends assessment of ASCVD risk every 4-6 years. … Results older than 6 years may not reflect the patient's current condition as accurately.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AAPNCE_10.26.15.pptx
January 01, 1970 - with co-morbidities 62 (56%)
Initial Age of Obesity Care
Age Diagnosis Testing Referral
< 2 years … 31 (29%) 7 (7%) 10 (9%)
2-5 years 69 (65%) 50 (46%) 57 (53%)
6-9 years 3 (3%) 29 (27%) 21 (20%)
> … 10 years 0 (0%) 17 (15%) 8 (8%)
At what age do clinicians diagnose, evaluate and refer obesity?
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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 - Individuals ≥ 21 years with clinical ASCVD.
1. … Individuals 40 to 75 years of age with Type 1 or Types 2 diabetes, and with a value of 70-189 mg/dL for … Criterion: >=21 years old with ASCVD
Pop 2 Recommendation
male
40
190
TRUE
FALSE … If 76 years old, they fall outside the highest ACC/AHA recommendation). … period"
Translated as the 'last 3 years' for CDS purposes, corresponding to those 2 years prior and
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
July 23, 2024 - Tool – include the total score only
Historical treatments
– Opioid medications – over the past 2 years … – Non-opioid medications – over the past 2 years
– Non-pharmacologic treatments – over the past 2 … years
– Stool softeners and laxatives – over the past 6 months
10
Medications:
Pulls med orders and … PT, acupuncture, electrotherapy, self-
management
Pulls assessments completed over the
past 2 years … drug screen results – all within the past 1 year
▪ Benzodiazepine medications – all within the past 2 years
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - for timing of and availability of LCL-c results:
· The WG members agreed on a lookback period of 6 years … LDL-c laboratory result, citing the 2013 ACC/AHA guideline recommendation to assess risk every 4 to 6 years … may be data availability and/or query response issues when considering lookback periods longer than 6 years … Considerations for timing of available BP measurements:
· The WG members agreed on a lookback period of 6 years … for the BP measurements, citing the 2013 ACC/AHA guideline recommendation to assess risk every 4 to 6 years
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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 - Echo is 52 years old with low high-density lipoprotein cholesterol (HDL-C)
and high LDL-C levels (as … His risk estimate for
developing heart disease or stroke in the next 10 years is 15 percent. … (final, amended)
OR HDL-C <40 mg/dL, MOST RECENT VALUE within the past 6 years (final, amended) … ”
The ACC/AHA recommends assessment of ASCVD risk every four to six years. … Two years was selected as a lookback
to provide a reasonable length of time to identify evidence of
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - Alpha is 42 years old and recently gained a lot of weight. … Inclusion logic:
Patient is ≥35 years old AND ≤70 years old
AND BMI ≥25kg/m2, MOST RECENT VALUE … OR Patient is ≥18 years old and <35 years old
AND BMI ≥25kg/m2, MOST RECENT VALUE
AND one of more … Inclusions “<” Less than a given value (e.g., less than 35 years old). … Exclusions “within the past 3
years”
Occurring within three years of the CDS trigger.
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - Inclusion logic:
Patient is ≥35 years old AND ≤70 years old
AND BMI ≥25kg/m2, MOST RECENT VALUE … OR Patient is ≥18 years old and <35 years old
AND BMI ≥25kg/m2, MOST RECENT VALUE
AND one of more … is ≥18 years old and ≤70 years old
AND gestational diabetes
AND
Hemoglobin A1c level ≥5.7%, MOST … Inclusions “≤” Less than or equal to a given value (e.g., ≤70 years old). … Inclusions “<” Less than a given value (e.g., less than 35 years old).
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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 - Alpha is 55 years old and has hypertension and diabetes, which are poorly
controlled despite taking … Bravo is 52 years old with low high-density lipoprotein cholesterol (HDL-C)
and high LDL-C levels on … His risk estimate for developing heart disease or
stroke in the next 10 years is 15 percent. … VALUE within the past 6 years (final, amended)
OR diabetes (Type 1 or Type 2) (active, relapse) … years.
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Inclusion logic:
Patient is ≥40 years of age and ≤59 years of age
AND the MOST RECENT 10-Year CVD … “in adults aged
40 to 59”
Adults who are 40 years old based on their date of birth (DOB) at the time … of calculation through 59
years old based on their DOB at the time of calculation
“10 percent or … The ACC/AHA recommends assessment of ASCVD risk every four to six years. … Results older than six years may not reflect the patient’s current condition as
accurately.
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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 - adults without a history of CVD when all the following criteria are met: 1) they are aged 40 to 75 years … old based on their date of birth (DOB) at the time of calculation through 75 years old based on their … to ensure clinical relevance
The ACC/AHA recommends assessment of ASCVD risk every 4-6 years. … Results older than 6 years may not reflect the patient's current condition as accurately. … If the most recent result of any of these items is > 6 years old a notification warning or error will
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cds.ahrq.gov/cdsconnect/keywords/10-year-ascvd-risk
August 23, 2024 - Search All AHRQ Sites
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Contact Us
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Email Updates
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - chronic pain (confirmed, active or recurring status, onset
date)
Pain Assessments (lookback of 2 years … )
o Statements (date, active, or completed in the past 2 years)
• Naloxone medication
o Orders (date … The MITRE team chose to
implement this criteria in the
inclusion logic (i.e., >=18 years
old), … Final semi-structured inclusion and exclusion logic
Inclusions Exclusions
Age >=18 years
AND
• … Pain Assessments (lookback of 2 years):
• Wong-Baker FACES Assessment (score, interpretation, date
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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 - Alpha is 55 years old and has hypertension and diabetes, which are poorly
controlled despite taking … Bravo is 52 years old with low high-density lipoprotein cholesterol (HDL-C)
and high LDL-C levels (as … His risk estimate for
developing heart disease or stroke in the next 10 years is 15 percent. … > 130 mg/dL, MOST RECENT VALUE within the past 6 years (final, amended)
OR HDL-C < 40 mg/dL, MOST … ”
The ACC/AHA recommends assessment of ASCVD risk every 4–6 years.
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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 - The equations are intended for use in
patients 40 – 79 years of age who have not had ASCVD.3 The risk … (measured in milligrams/deciliter [mg/dl])
Display LDL cholesterol, MOST RECENT within past 6 years … (measured in mg/dl)
Display HDL cholesterol, MOST RECENT within past 6 years (measured in mg/dl) … “10-year risk” Risk of showing evidence of ASCVD within the next 10 years. … Results
older than 6 years may not accurately reflect the individual’s current condition.