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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Revised age stratifications from 'age 13-17 and 18 or older' to 'age 13-17, 18-64 and 65 or older' to increase measure utility and actionability.
Measure Section: Stratification
Source of Change: Measure Lead
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Updated the definition for 'initiation treatment' to clarify the timing requirement.
Measure Section: Definition
Source of Change: Measure Lead
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Updated the definition of 'treatment' to include medications to reflect the measure logic and intent.
Measure Section: Definition
Source of Change: Measure Lead
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Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.
Measure Section: Guidance
Source of Change: Standards/Technical Update
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Added age anchor specification to the initial population description to clarify measure requirements.
Measure Section: Initial Population
Source of Change: Measure Lead
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Updated grammar and punctuation to improve readability.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated narrative specification to replace references to 'substance abuse and dependence' with 'substance use disorder' (SUD) to align with current Diagnostic and Statistical Manual of Mental Disorders (DSM) terminology.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated numerator 2 language to allow one long-acting medication event to meet the full engagement criteria to align with the measure intent.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Moved 'negative treatment history' criteria currently captured as denominator exclusions to initial population by redefining a 'new SUD episode' to align with the measure intent.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated the definition for a new episode of substance use disorder to align with the measure intent, and relocated the definition from 'Guidance' to 'Definition' section.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Revised language related to the second numerator option to no longer require pharmacotherapy be accompanied by at least one psychosocial treatment for the treatment of substance use disorder per current clinical practice guidelines.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated the timing precision in the definitions from datetime to date by adding 'day of', 'date from', and/or function 'ToDateInterval' to align with the measure intent.
Measure Section: Definitions
Source of Change: Measure Lead
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Updated logic to align with the intent of allowing initiation treatment to start the same day as the new episode or during the 13 days after.
Measure Section: Definitions
Source of Change: Measure Lead
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Modified logic from 'diagnosis with encounter' to 'encounter with diagnosis' to align with measure intent.
Measure Section: Definitions
Source of Change: Measure Lead
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Added QDM datatypes 'Encounter, Performed' and 'Assessment, Performed' and associated logic to the Hospice.'Has Hospice Services' definition to provide additional approaches for identifying patients receiving hospice services.
Measure Section: Definitions
Source of Change: Measure Lead
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Removed 'Encounter, Performed' of ED visits and medically managed withdrawals from list of qualifying treatment history events to align with the measure intent.
Measure Section: Definitions
Source of Change: Measure Lead
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Added 'Min' operators to the treatment engagement definitions to require the first treatment initiation event to be used in the instances of multiple qualifying initiation events to align with the measure intent.
Measure Section: Definitions
Source of Change: Measure Lead
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Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.
Measure Section: Multiple Sections
Source of Change: Standards/Technical Update
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Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.
Measure Section: Multiple Sections
Source of Change: Standards/Technical Update
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Updated the version number of the Hospice Library to v4.0.000.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Measure Section: Multiple Sections
Source of Change: Standards/Technical Update
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Moved 'negative treatment history' criteria currently captured as denominator exclusions to initial population to align with the measure intent.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Revised age stratifications from 'age 13-17 and 18 or older' to 'age 13-17, 18-64 and 65 or older' to increase measure utility and actionability.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Separated medication value sets into long-acting medications and short-acting medications; added new medication administration value sets and QDM datatype Procedure, Performed to identify qualifying medication administration events for treatment history, initiation and engagement; and updated numerator 2 logic to allow one long-acting medication or medication administration event to meet the full engagement criteria to align with the measure intent.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Replaced references to 'substance abuse and dependence' with 'substance use disorder' (SUD) to align with current DSM terminology.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Revised numerator 2 to no longer require pharmacotherapy be accompanied by at least one psychosocial treatment for the treatment of substance use disorder per current clinical practice guidelines.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Removed value set Opiate Antagonists (2.16.840.1.113883.3.464.1003.198.12.1132) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Substance Use Disorder Long Acting Medication (2.16.840.1.113883.3.464.1003.1149) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Substance Use Disorder Long Acting Medication Administration (2.16.840.1.113883.3.464.1003.1156) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Substance Use Disorder Short Acting Medication Administration (2.16.840.1.113883.3.464.1003.1157) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set (2.16.840.1.113883.3.464.1003.106.12.1001): Renamed to Substance Use Disorder based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set (2.16.840.1.113883.3.464.1003.101.12.1004): Renamed to Initial Hospital Inpatient Visit based on recommended value set naming conventions.
Measure Section: Terminology
Source of Change: Annual Update
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Value set (2.16.840.1.113883.3.464.1003.106.12.1005): Renamed to Substance Use Disorder Treatment based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set Substance Use Disorder (2.16.840.1.113883.3.464.1003.106.12.1001): Added 8 SNOMED CT codes (12398281000119105, 16236661000119100, 361150008, 1142050005, 191877009, 231475006, 703846009, 703847000) based on review by technical experts, SMEs, and/or public feedback. Deleted 14 SNOMED CT codes based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set (2.16.840.1.113883.3.464.1003.101.12.1002): Renamed to Initial Hospital Observation Care based on recommended value set naming conventions.
Measure Section: Terminology
Source of Change: Annual Update
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Replaced value set Hospice Care Ambulatory (2.16.840.1.113762.1.4.1108.15) with value set Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Added direct reference code LOINC code (45755-6) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Substance Use Disorder Short Acting Medication (2.16.840.1.113883.3.464.1003.1150) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added direct reference code SNOMED CT code (373066001) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead