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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated rationale with more current evidence.
Measure Section: Rationale
Source of Change: Measure Lead
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Updated references.
Measure Section: Reference
Source of Change: Standards/Technical Update
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Changed 'VTE Prophylaxis' to 'VTE prophylaxis' to align with typographical standard.
Measure Section: Guidance
Source of Change: Measure Lead
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Updated guidance to indicate patients in Acute Hospital Care at Home programs are included in the denominator population.
Measure Section: Guidance
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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Revised the denominator exclusions narrative to list exclusions in the same order as the logic for improved readability.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Standardized use of parentheses in numerator statement.
Measure Section: Numerator
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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Replaced reference to Global.ToDate with identical function named TJC.TruncateTime because Global.ToDate was retired.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Replaced 'Device, Applied' with 'Procedure, Performed' datatype to align with QDM v5.6 updates and created 3 new value sets with SNOMED CT codes to align with terminology recommendations by QDM datatype.
Measure Section: Numerator
Source of Change: Standards/Technical Update
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Updated definition name to align with logic content.
Measure Section: Numerator
Source of Change: Measure Lead
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Replaced age calculation from BirthDate with CQL function AgeInYearsAt in the TJCOverall and VTE libraries.
Measure Section: Definitions
Source of Change: Measure Lead
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Replaced Global.ToDate() with TJC.TruncateTime() in the function of FromDayOfStartOfHospitalizationToDayAfterAdmission and FromDayOfStartOfHospitalizationToDayAfterFirstICU.
Measure Section: Functions
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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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 timing precision in definitions using the functions TJC.'CalendarDayOfOrDayAfter' and VTE.'FromDayOfStartOfHospitalizationToDayAfterFirstICU' from datetime to date by adding 'day of' to align with the measure intent.
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 TJC Overall Library to v6.0.000.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated the version number of the VTE Library to v6.0.000.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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Updated definition names to reflect the removal of the 'Device, Applied' datatype.
Measure Section: Multiple Sections
Source of Change: Standards/Technical Update
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Changed 'With' to 'with' in the definition names to align with CQL Style Guide.
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: Standards/Technical Update
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Value set Urological Surgery (2.16.840.1.113883.3.117.1.7.1.272): Deleted 3 SNOMED CT codes (289754003, 290691008, 89528006) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment (2.16.840.1.113883.3.117.1.7.1.134): Deleted 5 RxNorm codes (1114198, 1232082, 1232086, 1549682, 2059015) 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 Obstetrics VTE (2.16.840.1.113883.3.117.1.7.1.264): Deleted 5 SNOMED CT codes (200237000, 200238005, 280966008, 63795001, 84216001) 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): Deleted 62 SNOMED CT codes based on terminology update. Deleted 50 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 Hip Replacement Surgery (2.16.840.1.113883.3.117.1.7.1.259): Deleted 1 SNOMED CT code (397956004) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Graduated compression stockings (GCS) (2.16.840.1.113883.3.117.1.7.1.256): Deleted 12 SNOMED CT codes based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Added value set Application of Venous Foot Pumps (VFP) (2.16.840.1.113762.1.4.1110.64) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Medical Reason (2.16.840.1.113883.3.117.1.7.1.473): Deleted 1 SNOMED CT code (397745006) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Rivaroxaban for VTE Prophylaxis (2.16.840.1.113762.1.4.1110.50): Added 1 RxNorm code (2588062) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Mental Health Diagnoses (2.16.840.1.113883.3.464.1003.105.12.1004): Added 3 ICD-10-CM codes (F32.A, T40.712A, T40.722A) based on terminology update. Deleted 1 ICD-10-CM code (T40.7X2A) based on terminology update. Deleted 4 SNOMED CT codes (162722001, 3503000, 391099000, 50878001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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Added value set Application of Intermittent Pneumatic Compression Devices (IPC) (2.16.840.1.113762.1.4.1110.65) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Annual Update
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Added value set Application of Graduated Compression Stockings (GCS) (2.16.840.1.113762.1.4.1110.66) based on change in measure requirements/measure specification.
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): Deleted 2 SNOMED CT codes (195394007, 266267005) 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): Deleted 2 SNOMED CT codes (238212008, 28933001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
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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