================================================================================ USPSTFDietAndActivityForCVDPreventionInAdults Change Log ================================================================================ The following CQL downloads are currently available on CDS Connect. Older versions may be available by request. - USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv102_v2.2.0_CQL.zip - USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv401_v2.2.0_CQL.zip ================================================================================ USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv102 (FHIR DSTU2) ================================================================================ -------------------------------------------------------------------------------- VERSION 1.0.0 -------------------------------------------------------------------------------- Internal version that was never published or piloted. -------------------------------------------------------------------------------- VERSION 1.0.1 -------------------------------------------------------------------------------- Initial FHIR DSTU2 version that was piloted in 2019. -------------------------------------------------------------------------------- VERSION 1.1.0 -------------------------------------------------------------------------------- Version 1.1.0 was updated from the originally piloted version '1.0.1' artifact based on changes to the USPSTF recommendation in 2020. As a result of these changes, the CQL logic was updated in the following ways: - BMI >= 25 (i.e., overweight) was removed from the inclusion criteria - Impaired fasting glucose was removed from the inclusion criteria - Impaired glucose tolerance was removed from the inclusion criteria - Elevated blood pressure was added to the inclusion criteria (using OR conjunction) - Estimated CVD risk score >= 7.5% was added to the inclusion criteria (using OR conjunction) - Example notification text was updated to remove reference to patient being overweight In addition, the following changes were made based on relevant FHIR profiles and new capabilities in later versions of the CQL spec and tooling: - Update blood pressure reading to use the representation from the Argonaut Vital Signs profile - NOTE: For backward compatibility, the CQL logic retains support for standalone Systolic and Diastolic BP observations - 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 USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv102 version 1.1.0 has not been piloted in a clinical setting, but has undergone logic testing and review. ================================================================================ USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv102 (FHIR DSTU2) ================================================================================ -------------------------------------------------------------------------------- VERSION 2.0.0 -------------------------------------------------------------------------------- Version 2.0.0 implements several best practices prescribed by FHIR Clinical Guidelines, including: - Rename library from USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv102 to USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv102 - Update CDS Connect Commons library to CDSConnectCommonsForFHIRv102 version 2.0.0 - Update CDS Connect Conversions library to CDSConnectConversions version 2.0.0 - Surround all library-level identifiers and datatypes in quotes - Use descriptive names (no abbreviations) for query aliases and function arguments - Fix non-standard use of Exists(...) as a function Version 2.0.0 also introduces the following changes from the previous version: - Replace "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 - Replace C3F.NullSafeToConcept with FHIRHelpers.ToConcept (which is now null-safe) - Update Notification and Recommendation text to improve clarity and readability 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 title of USPSTF link in Recommendation - Updated dependency library CDSConnectCommonsForFHIRv102 to version 2.1.0 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. -------------------------------------------------------------------------------- VERSION 2.2.0 -------------------------------------------------------------------------------- Version 2.2.0 has no significant changes from version 2.1.0. Minor changes include: - 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 "Counseling for Nutrition" (2.16.840.1.113883.3.464.1003.195.11.1004) value set with "Counseling for Nutrition" (2.16.840.1.113883.3.464.1003.195.12.1003) - Replace "Counseling for Physical Activity" (2.16.840.1.113883.3.464.1003.118.11.1042) value set with "Counseling for Physical Activity CDS" (2.16.840.1.113762.1.4.1032.307) - Replace LOINC 79423-0 code with "Cardiovascular disease 10Y risk" (2.16.840.1.113762.1.4.1032.308) value set - Update wording "Information" message to use term "10-year ASCVD risk score" - Update CDSConnectCommonsForFHIRv102 to version 2.1.1 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. ================================================================================ USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv401 (FHIR R4) ================================================================================ -------------------------------------------------------------------------------- VERSION 1.0.0 -------------------------------------------------------------------------------- The USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv401 version 1.0.0 library is a FHIR R4 port of the USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_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 FHIR core Blood Pressure profile (which, from a CQL logic perspective, is the same as the corresponding Argonaut profile used in the FHIR DSTU2 logic) - NOTE: For backward compatibility, the CQL logic retains support for standalone Systolic and Diastolic BP observations USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv401 version 1.0.0 has not been piloted in a clinical setting, but has undergone logic testing and review. ================================================================================ USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv401 (FHIR R4) ================================================================================ -------------------------------------------------------------------------------- VERSION 2.0.0 -------------------------------------------------------------------------------- Version 2.0.0 implements several best practices prescribed by FHIR Clinical Guidelines, including: - Rename library from USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv401 to USPSTFDietAndActivityForCVDPreventionInAdultsFHIRv401 - Update CDS Connect Commons library to CDSConnectCommonsForFHIRv401 version 2.0.0 - Update CDS Connect Conversions library to CDSConnectConversions version 2.0.0 - Surround all library-level identifiers and datatypes in quotes - Use descriptive names (no abbreviations) for query aliases and function arguments - Fix non-standard use of Exists(...) as a function Version 2.0.0 also introduces the following changes from the previous version: - Replace "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 - Update Notification and Recommendation text to improve clarity and readability 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 title of USPSTF link in Recommendation - Updated dependency library CDSConnectCommonsForFHIRv401 to version 2.1.0 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review. -------------------------------------------------------------------------------- VERSION 2.2.0 -------------------------------------------------------------------------------- Version 2.2.0 has no significant changes from version 2.1.0. Minor changes include: - 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 "Counseling for Nutrition" (2.16.840.1.113883.3.464.1003.195.11.1004) value set with "Counseling for Nutrition" (2.16.840.1.113883.3.464.1003.195.12.1003) - Replace "Counseling for Physical Activity" (2.16.840.1.113883.3.464.1003.118.11.1042) value set with "Counseling for Physical Activity CDS" (2.16.840.1.113762.1.4.1032.307) - Replace LOINC 79423-0 code with "Cardiovascular disease 10Y risk" (2.16.840.1.113762.1.4.1032.308) value set - Update wording "Information" message to use term "10-year ASCVD risk score" - Update CDSConnectCommonsForFHIRv401 to version 2.1.1 NOTE: This version has not been piloted in a clinical setting, but has undergone logic testing and review.