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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 references.
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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Updated due to clinical practice.
Measure Section: Numerator
Source of Change: ONC Project Tracking System (Jira): CQM-2832
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QDM v5.5 standards update: Replaced 'Assessment, Performed' attribute 'authorDatetime' with 'relevantDatetime' and added a new variable in various logic locations.
Measure Section: Definitions
Source of Change: Measure Lead
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Renamed the 'In Low Risk for VTE or On Anticoagulant' definition and revised logic for clarification consistent with the Clinical Quality Language (CQL) Style Guide.
Measure Section: Definitions
Source of Change: Measure Lead
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Added 'Rivaroxaban and Betroxban for VTE Prophylaxis' to definitions due to US Food and Drug Administration (FDA) approval of Rivaroxaban and Betrixaban for VTE prophylaxis.
Measure Section: Definitions
Source of Change: Measure Lead
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Expanded VTE prophylaxis timeframe to allow interventions in the ED or Observation setting prior to admission to count toward the numerator.
Measure Section: Definitions
Source of Change: ONC Project Tracking System (Jira): CQM-2832
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Followed CQL Style Guide to be consistent when defining SCIP acronym.
Measure Section: Definitions
Source of Change: Measure Lead
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CQL Library version update: Updated version number of the TJC_Overall Library (TJC_Overall-4.4.000).
Measure Section: Multiple Sections
Source of Change: Measure Lead
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CQL Library version update: Updated version number of the VTEICU Library (VTEICU-4.0.000).
Measure Section: Multiple Sections
Source of Change: Measure Lead
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QDM v5.5 standards update: Modified 'Encounter, Performed' diagnosis attribute to reference diagnosis codes in value sets specified in the logic.
Measure Section: Multiple Sections
Source of Change: Standards Update
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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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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 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 Update
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Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000).
Measure Section: Multiple Sections
Source of Change: Standards Update
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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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Value set Low Dose Unfractionated Heparin for VTE Prophylaxis (2.16.840.1.113762.1.4.1045.39): Added 1 RxNorm code (2121591) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Unfractionated Heparin (2.16.840.1.113883.3.117.1.7.1.218): Deleted 1 RxNorm code (1658720) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set General Surgery (2.16.840.1.113883.3.117.1.7.1.255): Added 2 SNOMED CT codes (47208000, 81561002) and deleted 7 SNOMED CT codes (14037006, 274029004, 275016006, 277578005, 426267007, 87389009, 89646009) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Gynecological Surgery (2.16.840.1.113883.3.117.1.7.1.257): Added 1 SNOMED CT code (784191009) and deleted 1 SNOMED CT code (236890000) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Intracranial Neurosurgery (2.16.840.1.113883.3.117.1.7.1.260): Deleted 1 SNOMED CT code (230892001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Venous Thromboembolism (2.16.840.1.113883.3.117.1.7.1.279): Added 3 ICD-10-CM codes (I26.93, I26.94, I28.9) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Hip Replacement Surgery (2.16.840.1.113883.3.117.1.7.1.259): Deleted 3 SNOMED CT codes (29969002, 33788003, 425443008) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Knee Replacement Surgery (2.16.840.1.113883.3.117.1.7.1.261): Added 1 SNOMED CT code (609588000) and deleted 3 SNOMED CT codes (430698003, 443543000, 443658004) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Obstetrics (2.16.840.1.113883.3.117.1.7.1.263): Added 17 SNOMED CT codes and deleted 27 SNOMED CT codes based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Ischemic Stroke (2.16.840.1.113883.3.117.1.7.1.247): Added 1 SNOMED CT code (422504002) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Observation Services (2.16.840.1.113762.1.4.1111.143): Deleted 2 SNOMED CT codes (448851000124103, 76464004) based on clinical/coding expert feedback.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Rivaroxaban and Betrixaban for VTE Prophylaxis (2.16.840.1.113762.1.4.1110.50): Added Rivaroxaban and Betrixaban for VTE Prophylaxis due to FDA approval of Rivaroxaban and Betrixaban for VTE prophylaxis.
Measure Section: Terminology
Source of Change: Measure Lead
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Value set Principal (2.16.840.1.113883.3.117.1.7.1.14): Removed Principal due to QDM v5.5 standards updates.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Atrial Fibrillation/Flutter Value Set (2.16.840.1.113883.3.117.1.7.1.202): Removed 2 ICD-10-CM codes (I48.1, I48.2) and added 4 ICD-10-CM codes (I48.11, I48.19, I48.20, I48.21) based on terminology update.
Measure Section: Terminology
Source of Change: ONC Project Tracking System (Jira): CQM-3827