1. Understanding Clinical Quality Language and How It Will Interact with FHIR
Jeff Eastman, PhD, Software Architect,
Michigan Health Information Network Shared Services
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2. 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
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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
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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
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FHIR Resources
Encounter
MedicationAdministration
Procedure
Condition
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FHIR Resources
Coding
CodeableConcept
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FHIR Resources
CodeSystem
ValueSet
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For more:
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Also a FHIR Resource
Library
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25. 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
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26. HAPI-FHIR Server With CQL Measure Engine
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Questions?
Jeff Eastman mailto:
Resource Center
Education Materials
HL7 Standard: Clinical Quality Language Specification
HL7 CDS Workgroup Project Homepage
GitHub Tools Repository
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