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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated references.
Measure Section: Reference
Source of Change: Measure Lead
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Removed National Institute for Health and Care Excellence (NICE) guidelines that are only applicable to the U.K. Population.
Measure Section: Clinical Recommendation Statement
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 the grouping category of glucocorticoids risk factor to reflect the timing requirement to improve readability and provide clarity.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Added exclusion risk factors associated with increased risk for osteoporosis based on recent evidence and stakeholder support.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Revised the timing requirement to align the onset of osteoporosis and osteopenia to prior to the measurement period.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Added new osteoporosis risk assessment tools to identify patients with increased risk for osteoporosis to align with USPSTF clinical recommendations.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Removed patients with qualifying risk assessment scores from the numerator exclusions instead of from the denominator exclusions to align with the measure intent.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Removed age combination risk factors 'race' and 'smoking status' and retained all others as independent risk factors to simplify the measure specification per the addition of new risk assessment tools.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated glucocorticoid active medication duration calculation to accurately capture total days covered by the period instead of 24-hour durations.
Measure Section: Definitions
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 the grouping category of glucocorticoids risk factor to reflect the timing requirement to improve readability.
Measure Section: Definitions
Source of Change: Measure Lead
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Revised the timing requirement to align the onset of osteoporosis and osteopenia to prior to the measurement period.
Measure Section: Definitions
Source of Change: Measure Lead
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Replaced value set Preventive Care Services Other (2.16.840.1.113883.3.464.1003.101.12.1030) with direct reference code CPT code (99429).
Measure Section: Definitions
Source of Change: Measure Lead
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Added QDM datatypes 'Diagnosis' and 'Procedure, Performed' to capture additional exclusion risk factors associated with increased risk for osteoporosis based on recent evidence and stakeholder support.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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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 timing precision in the definitions to align with the measure intent by replacing 'starts before' to 'starts on or before'.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Revised logic to remove patients with qualifying risk assessment scores from numerator exclusions instead of from denominator exclusions to align with revised narrative and clinical recommendations.
Measure Section: Multiple Sections
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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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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Revised the age interval to use closed intervals within the logic to align with CQL style best practices.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Removed age combination risk factors logic and retained all as independent risk factors except for 'race' and 'smoking status' to reflect the revised narrative.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Added new 'Assessment, Performed' logic to account for new osteoporosis risk assessment tools to align with revised narrative and clinical recommendations.
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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Value set Chronic Liver Disease (2.16.840.1.113883.3.464.1003.199.12.1035): Added 1 SNOMED CT code (1010616001) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 ICD-10-CM code (K74.0) based on validity of code during timing of look back period.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set Osteoporosis (2.16.840.1.113883.3.464.1003.113.12.1038): Added 39 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 Hyperparathyroidism (2.16.840.1.113883.3.464.1003.117.12.1016): Added 1 SNOMED CT code (190045361000119101) 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 Malabsorption Syndromes (2.16.840.1.113883.3.464.1003.199.12.1050): Added 5 SNOMED CT codes (453720571000119100, 721702009, 880001008, 966011731000119103, 969688801000119108) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 ICD-10-CM code (K90.4) based on validity of code during timing of look back period.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set Marfan's Syndrome (2.16.840.1.113883.3.464.1003.113.12.1048): Added 1 SNOMED CT code (1003407000) 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 Osteogenesis Imperfecta (2.16.840.1.113883.3.464.1003.113.12.1044): Added 1 SNOMED CT code (1003379004) 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 Rheumatoid Arthritis (2.16.840.1.113883.3.464.1003.113.12.1005): Added 65 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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Added direct reference code SNOMED CT code (7771000) 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 Type 1 Diabetes (2.16.840.1.113883.3.464.1003.103.12.1020): Deleted 8 ICD-10-CM codes (E10.321, E10.329, E10.331, E10.339, E10.341, E10.349, E10.351, E10.359) based on validity of code during timing of look back period.
Measure Section: Terminology
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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Replaced value set Female (2.16.840.1.113883.3.560.100.2) with direct reference code AdministrativeGender code (F) 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 (98133-2) 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 (98139-9) 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 White (2.16.840.1.113883.3.464.1003.123.12.1007) 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 Ehlers Danlos Syndrome (2.16.840.1.113883.3.464.1003.113.12.1047): Deleted 1 ICD-10-CM code (Q79.6) based on validity of code during timing of look back period.
Measure Section: Terminology
Source of Change: Measure Lead
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Removed value set Current Tobacco Smoker (2.16.840.1.113883.3.600.2390) 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 Major Transplant (2.16.840.1.113883.3.464.1003.198.12.1075) 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 Chemotherapy (2.16.840.1.113883.3.526.3.485) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Replaced value set BMI Ratio (2.16.840.1.113883.3.600.1.1490) with direct reference code LOINC code (39156-5) based on applicability of a single code to represent clinical data.
Measure Section: Terminology
Source of Change: Measure Lead
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Replaced value set Average Number of Drinks per Drinking Day (2.16.840.1.113883.3.464.1003.106.12.1018) with direct reference code LOINC code (11287-0) based on applicability of a single code to represent clinical data.
Measure Section: Terminology
Source of Change: Measure Lead
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Replaced value set Preventive Care Services Other (2.16.840.1.113883.3.464.1003.101.12.1030) with direct reference code CPT code (99429) 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 (98146-4) 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 Amenorrhea (2.16.840.1.113883.3.464.1003.1022) 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 Bone Marrow Transplant (2.16.840.1.113883.3.666.5.336) 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 Evidence of Bilateral Oophorectomy (2.16.840.1.113883.3.464.1003.1048) 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 Unilateral Oophorectomy Left (2.16.840.1.113883.3.464.1003.1028) 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 Bilateral Oophorectomy (2.16.840.1.113883.3.526.3.471) 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 Kidney Transplant (2.16.840.1.113883.3.464.1003.109.12.1012) 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 Unilateral Oophorectomy Right (2.16.840.1.113883.3.464.1003.1032) 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 Multiple Myeloma (2.16.840.1.113883.3.464.1003.1011) 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 Unilateral Oophorectomy, Unspecified Laterality (2.16.840.1.113883.3.464.1003.1035) 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 Premature Menopause (2.16.840.1.113883.3.464.1003.1013) 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 Eating Disorders (2.16.840.1.113883.3.464.1003.1039) 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 Tobacco Use Screening (2.16.840.1.113883.3.526.3.1278) 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 SNOMED CT code (24028007) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead