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Proposed solution
Clinical recommendation statement before:
Appropriate screenings are defined by any one of the following:
-Fecal occult blood test (annually)
-FIT-DNA test (every 3 years)
[...]
Clinical recommendation statement after:
Appropriate screenings are defined by any one of the following:
-Fecal occult blood test (annually)
-Stool DNA (sDNA) with FIT test (every 3 years)
[...]
Numerator header language before:
Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:
- Fecal occult blood test (FOBT) during the measurement period
- FIT-DNA during the measurement period or the two years prior to the measurement period
[...]
Numerator header language after:
Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:
- Fecal occult blood test (FOBT) during the measurement period
- Stool DNA (sDNA) with FIT test during the measurement period or the two years prior to the measurement period
[...]
Definition before:
define "Fecal Immunochemical Test DNA Performed"
["Laboratory Test, Performed": "FIT DNA"] FitDNA
where FitDNA.result is not null
and Global."LatestOf" ( FitDNA.relevantDatetime, FitDNA.relevantPeriod ) during [...]
Definition after:
define "Fecal Immunochemical Test DNA Performed"
["Laboratory Test, Performed": "sDNA FIT Test"] sDNATest
where sDNATest.result is not null
and Global."LatestOf" ( sDNATest.relevantDatetime, sDNATest.relevantPeriod ) during [...]
Terminology before:
valueset "FIT DNA" (2.16.840.1.113883.3.464.1003.108.12.1039)
Terminology after;
valueset "sDNA FIT Test" (2.16.840.1.113883.3.464.1003.108.12.1039)
Rationale for change
Updating the term "FIT DNA" with "Stool DNA (sDNA) with FIT Test" throughout the measure header and logic will align with the current industry term. Additionally, this change will provide clarity that Fecal Immunochemical Test (FIT) and DNA test are both required.
Show
Proposed solution
Clinical recommendation statement before:
Appropriate screenings are defined by any one of the following:
-Fecal occult blood test (annually)
-FIT-DNA test (every 3 years)
[...]
Clinical recommendation statement after:
Appropriate screenings are defined by any one of the following:
-Fecal occult blood test (annually)
-Stool DNA (sDNA) with FIT test (every 3 years)
[...]
Numerator header language before:
Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:
- Fecal occult blood test (FOBT) during the measurement period
- FIT-DNA during the measurement period or the two years prior to the measurement period
[...]
Numerator header language after:
Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:
- Fecal occult blood test (FOBT) during the measurement period
- Stool DNA (sDNA) with FIT test during the measurement period or the two years prior to the measurement period
[...]
Definition before:
define "Fecal Immunochemical Test DNA Performed"
["Laboratory Test, Performed": "FIT DNA"] FitDNA
where FitDNA.result is not null
and Global."LatestOf" ( FitDNA.relevantDatetime, FitDNA.relevantPeriod ) during [...]
Definition after:
define "Fecal Immunochemical Test DNA Performed"
["Laboratory Test, Performed": "sDNA FIT Test"] sDNATest
where sDNATest.result is not null
and Global."LatestOf" ( sDNATest.relevantDatetime, sDNATest.relevantPeriod ) during [...]
Terminology before:
valueset "FIT DNA" (2.16.840.1.113883.3.464.1003.108.12.1039)
Terminology after;
valueset "sDNA FIT Test" (2.16.840.1.113883.3.464.1003.108.12.1039)
Rationale for change
Updating the term "FIT DNA" with "Stool DNA (sDNA) with FIT Test" throughout the measure header and logic will align with the current industry term. Additionally, this change will provide clarity that Fecal Immunochemical Test (FIT) and DNA test are both required.