============================================================================================= Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 Change Log ============================================================================================= The following CQL downloads are currently available on CDS Connect. Older versions may be available by request. - Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102_v1.2.0_CQL.zip - Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401_v1.0.0_CQL.zip ============================================================================================= Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 (FHIR DSTU2) ============================================================================================= --------------------------------------------------------------------------------------------- VERSION 1.0.0 --------------------------------------------------------------------------------------------- Initial FHIR DSTU2 version. --------------------------------------------------------------------------------------------- VERSION 1.0.1 --------------------------------------------------------------------------------------------- Version 1.0.1 updated the CDS Connect Commons library to 1.1.1 to resolve an implicit conversion from FHIR.Date to System.DateTime that is no longer allowed by the CQL-to-ELM translator. --------------------------------------------------------------------------------------------- VERSION 1.1.0 --------------------------------------------------------------------------------------------- Version 1.1.0 applies updates to value sets based on changes to the source eCQM: - Replace "LDL Test" (2.16.840.1.113883.3.464.1003.198.11.1029) with "LDL-c" (2.16.840.1.113883.3.117.1.7.1.215) - Replace "Statin allergen" (2.16.840.1.113883.3.117.1.7.1.423) with "Statin Allergen" (2.16.840.1.113762.1.4.1110.42) - Renamed "Palliative Care" (2.16.840.1.113883.3.600.1.1579) to "Palliative or Hospice Care" (2.16.840.1.113883.3.600.1.1579) --------------------------------------------------------------------------------------------- VERSION 1.2.0 --------------------------------------------------------------------------------------------- Version 1.2.0 applies the following updates to align more closely with the latest version of the eCQM (CMS347v4): - Population 2: do not include patients with a history of ASCVD - Population 3: do not include patients with a history of ASCVD or with Familial Hypercholesterolemia - Population 3: highest LDL cholesterol in the past 3 years should be in the range 70 - 189 mg/dL - Exclusions: additionally check for palliative care procedure requests and encounters - Add "Encounter for palliative care" (ICD-10-CM Z51.5) concept for detecting palliative care encounters - Add "CABG, PCI Procedure" (2.16.840.1.113762.1.4.1138.566) value set for detecting ASCVD procedures - Add "Hospice Care Ambulatory" (2.16.840.1.113883.3.526.3.1584) value set for detecting hospice care - Replace "LDL-c" (2.16.840.1.113883.3.117.1.7.1.215) value set with "LDL Cholesterol" (2.16.840.1.113883.3.526.3.1573) - Replace "Low intensity statin therapy" (2.16.840.1.113762.1.4.1047.107) value set with "Low Intensity Statin Therapy" (2.16.840.1.113883.3.526.3.1574) - 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" (2.16.840.1.113762.1.4.1047.97) value set with "High Intensity Statin Therapy" (2.16.840.1.113883.3.526.3.1572) In addition to changes related to the eCQM, the following additional changes were made based on new capabilities in later versions of the CQL spec and tooling: - ICD-10-CM is now represented using the FHIR URL (http://hl7.org/fhir/sid/icd-10-cm) rather than the OID - URL-based value set identifiers are used rather than plain OIDs - code/concept pairs are no longer needed; code definitions are sufficient, so concept definitions have been removed - CQL retrieves now support codes, so ObservationsByConcept and ConditionsByConcept were replaced by simpler retrieves ============================================================================================= Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401 (FHIR R4) ============================================================================================= --------------------------------------------------------------------------------------------- VERSION 1.0.0 --------------------------------------------------------------------------------------------- The Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401 version 1.0.0 library is a FHIR R4 port of Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 version 1.2.0. While the intent of the logic remains the same as the FHIR DSTU2-based version, changes in the FHIR specification (from DSTU2 to R4) require additional changes in the CQL logic. This R4 representation contains the following changes related to the movement from FHIR DSTU2 to FHIR R4: - FHIR data model is now version 4.0.1 - FHIRHelpers is now version 4.0.1 - CDS_Connect_Commons_for_FHIRv102 has been replaced by CDS_Connect_Commons_for_FHIRv401 version 1.0.0 - MedicationOrder is replaced by MedicationRequest - ProcedureRequest is replaced by ServiceRequest