Pain Management Summary 0.3.0
The Pain Management Summary version 0.3.0 provides changes to the DSTU2 and R4 CQL logic, as well as the value set expansions. In addition it adds CQL source code and improves Section 508 compliance.
The CQL updates contain the following changes to the primary DSTU2 and R4 libraries:
- Added the following value sets for identifying Risk Factors for Opiod-Related Harms (in addition to existing ones)
- Depression Diagnosis ICD9:
2.16.840.1.113883.3.600.143
- Anxiety Disorders ICD9:
2.16.840.1.113883.3.1240.2017.3.2.1015
- Substance Abuse:
2.16.840.1.113883.3.464.1003.106.11.1010
- Pregnancy (New ICD10 codes published in 2018 and 2019):
2.16.840.1.113762.1.4.1032.80
- Depression Diagnosis ICD9:
- Changed the Suicide Attempt value set to
2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT
86849004
since it is now in the Suicide Attempt value set - Added LOINC codes for the Pain intensity, Enjoyment of life, General activity scale [PEG] (CQL)
- Previous local codes are still supported (but discouraged)
- Added logic to normalize long LOINC display text for PEG codes to shorter names
- Added LOINC code for the STarT Back Screening Tool (CQL)
- Previous local code is still supported (but discouraged)
- Added logic to display range for Opioid Risk Tool (ORT)
- Updated QuantityText logic to not include '{score}' units (since scalar number is enough in those cases)
Dependency CQL libraries were also updated to align w/ more recent versions and address minor bugs. This includes a fix for #6, so that the Pain Management Summary no longer requires exact matches on the entire CodeableConcept for Conditions' clinical status values.
In addition, the source code now includes the source CQL used to build the ELM JSON. See the following locations for the CQL files:
Last, additional updates were made to improve compliance with Section 508, including better support of tabbed navigation.