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

2. COMPOSITE MEASURE METADATA

3. 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

4. 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 ?

5. HQMF R2.1 Example

6. HQMF MODULARIZATION

7. Separate Expression Logic and Expression Data Model

8. Identify Source of Expressions

9. Use an Expression from HQMF

10. Define Data in HQMF

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

12. EPISODE OF CARE MEASURES

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

14. HQMF R2 ITMCNT

15. 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 with @root and @extension corresponding to data criteria that represents items to be counted – Multiple ITMCNT attributes when required No changes to XML schema

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

17. SUMMARY

18. Summary of Proposed Changes Additional values for relatedDocument/@typeCode – 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