Understanding Clinical Quality Language and How It Will Interact with FHIR Jeff Eastman, PhD, Software Architect, eastman@mihin.org Michigan Health Information Network Shared Services Copyright 2016 - MiHIN - Confidential - Proprietary - Restricted
Clinical Quality Language Credit for slides contained herein is due: Bryn Rhodes – ESAC, Inc. Chris Moesel – MITRE Deborah Krauss – CMS Floyd Eisenberg – ESAC, Inc. Jennifer Harris – CMS Shanna Hartman – CMS Links to reference information & full presentations http://ecqi.healthit.gov/cql http://ecqi.healthit.gov/cql/cql-educational-resources Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved Background ONC Clinical Quality Framework Initiative (CQF) has developed harmonized interoperability specifications to support Clinical Decision Support (CDS) Electronic Clinical Quality Measurement (eCQM) Other healthcare use cases Foundational specification reuses much of the preexisting standards in healthcare Clinical Quality Language (CQL) is to be the new “lingua franca” for structuring and encoding clinical quality knowledge HL7 Cross-Paradigm Specification: Clinical Quality Language Specification, R1 DSTU R1.1 New version R1.2 has just been approved for release Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved The Challenge CDS and eCQM standards were developed independently Standards use different models and logic to describe the same healthcare information Authors cannot leverage each others work Copyright 2016 - MiHIN Shared Services - All Rights Reserved
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Copyright 2016 - MiHIN Shared Services - All Rights Reserved FHIR Resources Encounter MedicationAdministration Procedure Condition Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved FHIR Resources Coding CodeableConcept Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved FHIR Resources CodeSystem ValueSet Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved For more: https://ecqi.healthit.gov/system/files/clinicalqualitylanguagebasicsv5_508.pdf Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved Also a FHIR Resource Library Copyright 2016 - MiHIN Shared Services - All Rights Reserved
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How Can All This Work in FHIR? FHIR Resource Measure Library FHIR Resources Patient Practitioner Organization Encounter Symptom Observation Condition Procedure Medication etc FHIR Resource MeasureReport FHIR Server + Measure Engine Copyright 2016 - MiHIN Shared Services - All Rights Reserved
HAPI-FHIR Server With CQL Measure Engine Copyright 2016 - MiHIN Shared Services - All Rights Reserved
Copyright 2016 - MiHIN Shared Services - All Rights Reserved Questions? Jeff Eastman mailto: eastman@mihin.org Resource Center http://ecqi.healthit.gov/cql Education Materials http://ecqi.healthit.gov/cql/cql-educational-resources HL7 Standard: Clinical Quality Language Specification http://www.hl7.org/implement/standards/product_brief.cfm?product_id=400 HL7 CDS Workgroup Project Homepage http://wiki.hl7.org/index.php?title=Clinical_Quality_Language GitHub Tools Repository https://github.com/cqframework/clinical_quality_language Copyright 2016 - MiHIN Shared Services - All Rights Reserved