HQMF R2.1 Updates Modularization, Episode of Care, Composite Measure Metadata

COMPOSITE MEASURE METADATA

HQMF R2 Currently allowed typeCode values: – RPLC: replaces (prior version of measure in HQMF syntax) – XFRM: transformation of (prior document to HQMF syntax) – APND: is appendage of

HQMF R2.1 Additional typeCode values for reference to components of composite (HL7 ActRelationshipType) New codes – XCRPT: excerpts – VRXCRPT: verbatim excerpts – DRIV: derived from – COMP: has component (jointly authored) – USE: uses (independently authored) Additional relatedDocument child element – componentQualityMeasureDocument ?

HQMF R2.1 Example

HQMF MODULARIZATION

Separate Expression Logic and Expression Data Model

Identify Source of Expressions

Use an Expression from HQMF

Define Data in HQMF

HeD … JavaScript var inpatientEncounters = patient.InpatientEncounter(); Access Data from Expression

EPISODE OF CARE MEASURES

HQMF R2 Added a new ITMCNT measure attribute – Specified at the document or population level – Value is a CD specifying generic “procedure”, “encounter” etc.

HQMF R2 ITMCNT

HQMF R2.1 Analysis of MU2 episode of care measures reveals additional requirements – Need to differentiate between counted and non-counted items of same type – Need to support multiple counted items of same or different types Update specification text – ITMCNT attribute value will be an II corresponding to data criteria that represents items to be counted – Multiple ITMCNT attributes when required No changes to XML schema

<value xsi:type="II" root="e9a068dc-310a-48e4-95b0-eed852a8950b" extension="inpatientEncounter"/> HQMF R2.1 ITMCNT

SUMMARY

Summary of Proposed Changes Additional values for – Current: XFRM, RPLC, APND – Additional: COMP, USE, DRIV, XCRPT Additional relatedDocument child elements – Current: parentQualityMeasureDocument – Additional: expressionDocument, componentQualityMeasureDocument Change documentation of ITMCNT measure attribute – Describe use of data criteria reference via instance identifier