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Updated eCQM Version Number.
Measure Section: eCQM Version Number
Source of Change: Standards Update
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Standards Update
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Updated references to align with American Psychological Association (APA) formatting.
Measure Section: Reference
Source of Change: Measure Lead
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Added text to identify the Quality Data Model (QDM) version used in the measure specification.
Measure Section: Guidance
Source of Change: Standards Update
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Added text to indicate whether the measure is patient-based or episode-based.
Measure Section: Guidance
Source of Change: Standards Update
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Revised guidance related to patients who have had both myocardial infarction within the past 3 years and LVEF < 40% to clarify how these patients should be counted in the measure.
Measure Section: Guidance
Source of Change: Measure Lead
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Revised Clinical Quality Language (CQL) definition related to myocardial infarction by applying additional constraints to ensure patients will only meet the population 2 denominator criteria if they do not also have LVEF < 40%.
Measure Section: Denominator
Source of Change: Measure Lead
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Added a new data element using the Allergy/Intolerance QDM category and datatype to capture the substance related to beta blocker as a potential allergen to align with measure intent and interoperability standards.
Measure Section: Denominator Exceptions
Source of Change: Measure Lead
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Updated CQL definition names used to more closely align with clinical concept intent or create consistency of naming across measures.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Revised CQL definition construction to reduce the overall complexity of the measure logic without changing the intent and/or application of data element. These revisions were intended to make the definition logic less complex, easier to understand, and more meaningful.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Revised measure timings to improve alignment with the intent of the measure requirements.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Added direct reference code SNOMED CT Code (373254001) based on expert review and/or public feedback to align with interoperability standards.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Deleted 1 SNOMED CT code (17436001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Nursing Facility Visit (2.16.840.1.113883.3.464.1003.101.12.1012): Added 3 CPT codes (99315, 99316, 99318) based on expert review and/or public feedback.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Medical Reason (2.16.840.1.113883.3.526.3.1007): Deleted 5 SNOMED CT codes (216952002, 274512008, 371133007, 416406003, 445528004) based on expert review and/or public feedback. Removed codes due to intent of concepts which do not indicate a medical contraindication, but rather a provider decision to discontinue something or change a course of treatment.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Patient Provider Interaction (2.16.840.1.113883.3.526.3.1012): Deleted 1 SNOMED CT code (11797002) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Beta Blocker Therapy (2.16.840.1.113883.3.526.3.1174): Deleted 3 RxNorm codes (245854, 245855, 998694) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Intolerance to Beta Blocker Therapy (2.16.840.1.113883.3.526.3.1178): Deleted 1 SNOMED CT code (292429003) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Asthma (2.16.840.1.113883.3.526.3.362): Deleted 14 ICD-9-CM codes. Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (782520007) and deleted 1 SNOMED CT code (30352005) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Arrhythmia (2.16.840.1.113883.3.526.3.366): Deleted 2 ICD-9-CM codes (427.89, 427.9). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Atrioventricular Block (2.16.840.1.113883.3.526.3.367): Deleted 3 ICD-9-CM codes (426.0, 426.12, 426.13). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Cardiac Pacer in Situ (2.16.840.1.113883.3.526.3.368): Deleted 1 ICD-9-CM code (V45.01). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Hypotension (2.16.840.1.113883.3.526.3.370): Deleted 6 ICD-9-CM codes (458.0, 458.1, 458.21, 458.29, 458.8, 458.9). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Bradycardia (2.16.840.1.113883.3.526.3.412): Deleted 2 ICD-9-CM codes (427.81, 427.89). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Coronary Artery Disease No MI (2.16.840.1.113883.3.526.3.369): Deleted 21 ICD-9-CM codes. Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Cardiac Surgery (2.16.840.1.113883.3.526.3.371): Deleted 6 CPT codes (33517, 33518, 33519, 33521, 33522, 33523) based on coding guidelines.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Myocardial Infarction (2.16.840.1.113883.3.526.3.403): Deleted 1 ICD-9-CM code (412) based on expert review and/or public feedback to align with value set intent. Deleted 2 ICD-10-CM codes (I24.1, I25.2) based on expert review and/or public feedback to align with value set intent. Deleted 10 SNOMED CT codes (161502000, 161503005, 1755008, 233839009, 233840006, 233841005, 233842003, 275905002, 308065005, 399211009) based on expert review and/or public feedback to align with value set intent.
Measure Section: Terminology
Source of Change: Annual Update
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Removed ICD-9-CM extensional value sets from applicable Groupings due to ICD-9-CM no longer being maintained and the measure not requiring historical lookback, with the exception of the 'Myocardial Infarction' value set that is reused in another measure which requires an indefinite lookback period.
Measure Section: Terminology
Source of Change: Measure Lead