========================================================================================= USPSTFPrediabetesAndType2DiabetesPart2Counseling Change Log ========================================================================================= The following CQL downloads are currently available on CDS Connect. Older versions may be available by request. - USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv102_v2.0.0_CQL.zip - USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv401_v2.0.0_CQL.zip ========================================================================================= USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv102 (FHIR DSTU2) ========================================================================================= ----------------------------------------------------------------------------------------- VERSION 1.0.0 ----------------------------------------------------------------------------------------- Initial FHIR DSTU2 version that was piloted in 2019. ----------------------------------------------------------------------------------------- VERSION 1.1.0 ----------------------------------------------------------------------------------------- Version 1.1.0 was updated based on terminology review. As a result of this review, the CQL logic was updated in the following ways: - Removed retired SNOMED-CT code "Polycystic ovaries (disorder)" - Added value set "Polycystic Ovary Syndrome" (2.16.840.1.113762.1.4.1032.151) USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv102 version 1.1.0 has not been piloted in a clinical setting, but has undergone logic testing and review. ========================================================================================= USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv102 (FHIR DSTU2) ========================================================================================= ----------------------------------------------------------------------------------------- VERSION 2.0.0 ----------------------------------------------------------------------------------------- Version 2.0.0 implements several best practices prescribed by FHIR Clinical Guidelines, including: - Renames library from USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv102 to USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv102, which also reflects the new USPSTF Recommendation name - Extracts logic shared with the counseling artifact into a separate CQL library: USPSTFPrediabetesAndType2DiabetesSharedLogicFHIRv102 version 1.0.0 - Updates CDS Connect Commons library to CDSConnectCommonsForFHIRv102 version 2.0.0 - Updates CDS Connect Conversions library to CDSConnectConversions version 2.0.0 - Surrounds all library-level identifiers and datatypes in quotes - Uses descriptive names (no abbreviations) for query aliases and function arguments - Fixes non-standard use of Exists(...) as a function Version 2.0.0 also introduces the following changes, mainly based on the updated evidence from 2020: - Changes the lower limit of the age range for inclusion from age 40 to age 35 - Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets with grouping value set "CDS Pregnancy" 2.16.840.1.113762.1.4.1032.264 - Only recommends counseling for patients with prediabetes (not for those with diabetes) - Updates Notification and Recommendation text NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. ----------------------------------------------------------------------------------------- VERSION 2.1.0 ----------------------------------------------------------------------------------------- Version 2.1.0 has no significant changes from version 2.0.0. Minor changes include: - Updated CQL value set declarations to use full URLs rather than OIDs - Where possible, removed CQL Concept declarations in favor of CQL Code declarations - Updated Notification and Recommendation text for improved readability - Updated dependency library CDSConnectCommonsForFHIRv102 to version 2.1.0 - Updated dependency library USPSTFPrediabetesAndType2DiabetesSharedLogicFHIRv102 to version 1.1.0 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. ========================================================================================= USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv401 (FHIR R4) ========================================================================================= ----------------------------------------------------------------------------------------- VERSION 1.0.0 ----------------------------------------------------------------------------------------- The USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv401 version 1.0.0 library is a FHIR R4 port of the USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv102 version 1.1.0 library. 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 - ProcedureRequest is replaced by ServiceRequest - ReferralRequest is replaced by ServiceRequest - Encounter.reason is replaced by Encounter.reasonCode - Encounters filter out 'entered-in-error' and 'unknown' status in addition to 'cancelled' status In addition to porting the data model, it also leverages new IGs and profiles, resulting in the following 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 changes were made based on new capabilities in later versions of the CQL spec and tooling: - 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 - The FHIR modelinfo was updated to properly reflect extension URLs as FHIR.url types, so CQL was adjusted accordingly USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv401 version 1.0.0 has not been piloted in a clinical setting, but has undergone logic testing and review. ========================================================================================= USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv401 (FHIR R4) ========================================================================================= ----------------------------------------------------------------------------------------- VERSION 2.0.0 ----------------------------------------------------------------------------------------- Version 2.0.0 implements several best practices prescribed by FHIR Clinical Guidelines, including: - Renames library from USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2_Diabetes_FHIRv401 to USPSTFPrediabetesAndType2DiabetesPart2CounselingFHIRv401, which also reflects the new USPSTF Recommendation name - Extracts logic shared with the counseling artifact into a separate CQL library: USPSTFPrediabetesAndType2DiabetesSharedLogicFHIRv401 version 1.0.0 - Updates CDS Connect Commons library to CDSConnectCommonsForFHIRv401 version 2.0.0 - Updates CDS Connect Conversions library to CDSConnectConversions version 2.0.0 - Surrounds all library-level identifiers and datatypes in quotes - Uses descriptive names (no abbreviations) for query aliases and function arguments - Fixes non-standard use of Exists(...) as a function Version 2.0.0 also introduces the following changes, mainly based on the updated evidence from 2020: - Changes the lower limit of the age range for inclusion from age 40 to age 35 - Replaces "Pregnancy" 2.16.840.1.113883.3.526.3.378 and "Pregnancy (New ICD10 codes published in 2018 and 2019)" 2.16.840.1.113762.1.4.1032.80 value sets with grouping value set "CDS Pregnancy" 2.16.840.1.113762.1.4.1032.264 - Only recommends counseling for patients with prediabetes (not for those with diabetes) - Updates Notification and Recommendation text NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. ----------------------------------------------------------------------------------------- VERSION 2.1.0 ----------------------------------------------------------------------------------------- Version 2.1.0 has no significant changes from version 2.0.0. Minor changes include: - Updated Notification and Recommendation text for improved readability - Updated dependency library CDSConnectCommonsForFHIRv401 to version 2.1.0 - Updated dependency library USPSTFPrediabetesAndType2DiabetesSharedLogicFHIRv401 to version 1.1.0 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review.